Ocular manifestations in a case of Wernicke's encephalopathy due to hyperemesis gravidarum
نویسندگان
چکیده
Wernicke's Encephalopathy (WE) is a potentially devastating disorder, which if not diagnosed and treated at the earliest, could lead to dangerous neurological and ophthalmological complications. We report the ocular manifestations of WE in a pregnant woman with hyperemesis gravidarum.
منابع مشابه
Wernicke's Encephalopthy Associated with Hyperemesis Gravidarum - A Case Report.
Two cases of Wernicke's encephalopathy due to hyperemesis gravidarum are described. The first patient presented with bilateral papilloedema, altered sensorium and the second with bilateral retinal haemorrhages, ophthalmoplegia and nystagmus. Both patients were diagnosed with Wernicke's encephalopathy on clinical ground since there were no laboratory facilities to measure red cell transketolase ...
متن کاملPapilloedema delaying diagnosis of Wernicke's encephalopathy in a comatose patient.
A case of acute Wernicke's encephalopathy due to hyperemesis gravidarum is described. Florid bilateral papilloedema was present, resulting in diagnostic uncertainty and delay in treatment. Attention is drawn to the rare occurrence of papilloedema in Wernicke's encephalopathy, and possible underlying mechanisms for this physical finding are considered.
متن کاملHyperemesis 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 ...
متن کاملMissed Diagnosis Papilloedema delaying diagnosis of Wernicke ' s encephalopathy in a comatose patient
Wernicke's encephalopathy is usually associated with chronic alcohol abuse.' It may also occur in other clinical contexts including hyperemesis gravidarum,2-4 inadequate diet due to malabsorption, forced or self-imposed starvation, anorexia and prolonged intravenous feeding.7 I report a case of severe Wernicke's encephalopathy where the presence ofpapilloedema caused potentially serious delay i...
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Background: ″Wernicke’s Korsakoff″ syndrome is the most important complication of severe thiamine deficiency. The term refers to two different syndromes, each representing a different stage of the disease. Wernicke’s encephalopathy (WE) is an acute syndrome requiring emergent treatment to prevent death and neurologic morbidity. Korsakoff syndrome (KS) refers to a chronic neurologic condition th...
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