Wernicke’s encephalopathy: obstetric diagnostic challenge! (a rare complication of hyperemesis gravidarum): a case report and review of literature

Wernicke’s encephalopathy (WE) is an acute neurological disorder caused by a deficiency in thiamine. It characterized triad of altered mental status, ataxia and ophthalmoplegia. Most the cases reported were secondary to long-term alcohol use. We rare case WE due hyperemesis gravidarum 29-year-old P1L1A1 women at 22 weeks gestation who had spontaneous abortion. Patient manifested with features confusion, nystagmus, gait ataxia. Diagnosis was established after MRI findings suggestive thalamus. clinically improved treatment emphasize importance thiamine supplementation prevent life threatening complications.