Missed Diagnosis Papilloedema delaying diagnosis of Wernicke ' s encephalopathy in a comatose patient
نویسنده
چکیده
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 in diagnosis.
منابع مشابه
Papilloedema 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.
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