Wernicke′s encephalopathy following 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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Oesophageal obstruction following hyperemesis gravidarum.

Although since 1921 (Vinson, 1921) severe obstruction of the oesophagus has been known to follow vomiting in pregnancy, little is known about the subject, and the significance of a history of vomiting in pregnancy is not always recognized. We record five patients with severe oesophageal obstruction thought to be caused by hyperemesis gravidarum. The poor outlook for spontaneous and complete cur...

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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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ژورنال

عنوان ژورنال: Indian Journal of Critical Care Medicine

سال: 2014

ISSN: 0972-5229,1998-359X

DOI: 10.4103/0972-5229.128706