Wernicke's encephalopathy and hyperemesis gravidarum.

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Wernicke's encephalopathy in hyperemesis gravidarum.

A 20-year-old woman developed severe persistent vomiting early in pregnancy. In three months she lost 18 kg of body weight: and showed the biochemical features of mild hepatic failure. Four days after starting intravenous dextrose and insulin, she developed short-term miemory loss, confusion, ataxia, dysarthria, mild left upper motor neurone facial weakness and upbeat nystagmus. Thiamine was gi...

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Hyperemesis gravidarum complicated by Wernicke's encephalopathy.

BACKGROUND Wernicke's encephalopathy is usually associated with alcohol abuse, but can also occur with hyperemesis gravidarum. The effect of delay in thiamine replacement on fetal outcomes is unknown. We present a case of this complication. CASE A primipara with hyperemesis was admitted for mental status changes in her 14th week of pregnancy. Physical examination revealed a lethargic patient ...

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Hyperemesis gravidarum.

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Hyperemesis gravidarum: a review.

Vomiting in pregnancy is a very common phenomenon, though not well understood. The extreme form, hyperemesis gravidarum can lead to severe complications. Articles published in the last decade in this field were searched and studied. Various aetiological factors were identified, the recent ones being the association of Helicobacter. pylori with hyperemesis, as well as the presence of cell free f...

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Understanding hyperemesis gravidarum.

Nausea and vomiting are common in early pregnancy affecting 70-80 percent of pregnant mothers. In a majority of women vomiting begins between 4-7 weeks of pregnancy. Nausea and vomiting are usually mild and self-limiting, however some of the mothers have a more profound course which lead to hyperemesis gravidarum. Careful clinical evaluation is necessary to exclude underlying medical illnesses ...

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ژورنال

عنوان ژورنال: BMJ

سال: 1992

ISSN: 0959-8138,1468-5833

DOI: 10.1136/bmj.305.6858.891