Wernicke encephalopathy is an acute encephalopathy, characterized by the triad of mental confusion, ophthalmoplegia, and gait ataxia. Many reasons have been reported in etiology that may be related to insufficient intake or malabsorption thiamine. Here, we present a case Wernicke's developed after gastric bypass surgery, whose diagnosis was delayed because there no feature other than papillary ...

BACKGROUND The prevailing teaching in medical school curricula and in medical textbooks is that if thiamine deficiency is suspected, thiamine supplementation should be given before administering glucose. OBJECTIVE We sought to evaluate the published evidence describing the commonly held belief that thiamine supplementation must be given before glucose in hypoglycemic patients to prevent Werni...

Sir, We read with interest the recent paper of Gibb et al. (1985) in which reversible coma in Wernicke's encephalopathy was reported. Treatment with thiamine was successful in that the patient regained consciousness but unsuccessful in preventing the residual amnestic defect of Korsakoff's encephalopathy. In a similar report (Wallis et al., 1978) four comatose patients with the Wernicke syndrom...

RATIONALE FOR THIS CASE REPORT Cerebral Salt-Wasting Syndrome (CSWS) is characterized by hyponatremia and sodium wasting in the urine. These conditions are triggered by various neurosurgical disorders such as subarachnoid hemorrhage, brain tumor, head injury, and brain surgery. To our knowledge, CSWS caused by Wernicke encephalopathy (WE) has been rarely reported. PRESENTING CONCERNS OF THE P...

We read with special interest the article of Zuccoli et al entitled “MR Imaging Findings in 56 Patients with Wernicke Encephalopathy: Nonalcoholics May Differ from Alcoholics.” The authors reported the imaging features of Wernicke encephalopathy (WE), which include symmetric alterations in the thalami, mammillary bodies, tectal plate, and periaqueductal area, and other less typical imaging find...

Wernicke encephalopathy (WE) is an acute neuropsychiatric syndrome resulting from thiamine (vitamin B1) deficiency, classically characterized by the triad of ophthalmoplegia, confusion, and ataxia. While commonly associated with chronic alcoholism, WE may also occur in the setting of poor nutrition or absorption. We present a 37-year-old woman who underwent laparoscopic sleeve gastrectomy and p...

To the Editor: We read with great interest the recent publication by Zheng published in the November 2015 issue of the American Journal of Therapeutics which reports a case of Wernicke encephalopathy (WE) 7 weeks after sleeve gastrectomy (SG). The author describes a rare case of WE resulting from thiamine deficiency in a 42-year-old female patient who underwent SG. According to the article, WE ...

MR in a patient with Wernicke encephalopathy showed enhancement in the mamillary bodies and inferior quadrigeminal plate. These findings pointed to the correct diagnosis, which can be difficult to make in patients who are not alcoholics.