scholarly journals Wernicke's encephalopathy during long-term hemodialysis manifesting as disturbance of consciousness

2014 ◽  
Vol 47 (3) ◽  
pp. 217-222
Author(s):  
Masamitsu Ubukata ◽  
Nobuyuki Amemiya ◽  
Kousaku Nitta ◽  
Takashi Takei
Keyword(s):  
Wernicke’S Encephalopathy ◽  
Wernicke's Encephalopathy ◽  
Disturbance Of Consciousness

scholarly journals Wernicke’s Encephalopathy Complicating Hyperemesis during Pregnancy

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Mohamed Adnane Berdai ◽  
Smael Labib ◽  
Mustapha Harandou
Keyword(s):  
Maternal Morbidity ◽  
Loss Rate ◽  
Hyperemesis Gravidarum ◽  
Rare Complication ◽  
Fetal Loss ◽  
Wernicke’S Encephalopathy ◽  
Wernicke's Encephalopathy ◽  
Neurological Sequela ◽  
Disturbance Of Consciousness

Wernicke’s encephalopathy is caused by severe thiamine deficiency; it is mostly observed in alcoholic patients. We report the case of a 28-year-old woman, at 17 weeks of gestational age, with severe hyperemesis gravidarum. She presented with disturbance of consciousness, nystagmus, ophthalmoplegia, and ataxia. The resonance magnetic imagery showed bilaterally symmetrical hyperintensities of thalamus and periaqueductal area. The case was managed with very large doses of thiamine. The diagnosis of Wernicke’s encephalopathy was confirmed later by a low thiamine serum level. The patient was discharged home on day 46 with mild ataxia and persistent nystagmus. Wernicke’s encephalopathy is a rare complication of hyperemesis gravidarum. It should be diagnosed as early as possible to prevent long-term neurological sequela or death. Thiamine supplementation in pregnant women with prolonged vomiting should be initiated, especially before parenteral dextrose infusion. Early thiamine replacement will reduce maternal morbidity and fetal loss rate.

Wernicke’s encephalopathy after cardiac surgery

2018 ◽  
Vol 26 (4) ◽  
pp. 302-304
Author(s):  
Yoshiyuki Nishimura
Keyword(s):  
Cardiac Surgery ◽  
Vitamin B1 ◽  
Chronic Atrial Fibrillation ◽  
Mitral Valve Insufficiency ◽  
Wernicke’S Encephalopathy ◽  
Wernicke's Encephalopathy ◽  
Resonance Imaging ◽  
Disturbance Of Consciousness ◽  
Limb Ataxia ◽  
Valve Insufficiency

A 76-year-old woman who had been on hemodialysis for 3 years developed ischemic mitral valve insufficiency, tricuspid insufficiency, and chronic atrial fibrillation, and underwent cardiac surgery. On the 4th postoperative day, she experienced a sudden disturbance of consciousness, aphasia, and limb ataxia. Brain computed tomography and magnetic resonance imaging showed no abnormalities. Wernicke’s encephalopathy was suspected and the patient was given vitamin B1, whereupon her symptoms gradually improved. On the 42nd postoperative day, she was free of neurological symptoms and discharged.

Long-term cognitive sequelae in a case of Wernicke’s encephalopathy after allogeneic stem cell transplantation

Neurocase ◽  
2015 ◽  
Vol 22 (2) ◽  
pp. 187-190 ◽  
Author(s):  
Fabio Giovannelli ◽  
Benedetta Basagni ◽  
Leonardo Potenza ◽  
Valeria Foschi ◽  
Antonio De Tanti
Keyword(s):  
Stem Cell ◽  
Stem Cell Transplantation ◽  
Cell Transplantation ◽  
Allogeneic Stem Cell Transplantation ◽  
Wernicke’S Encephalopathy ◽  
Wernicke's Encephalopathy ◽  
Cognitive Sequelae

scholarly journals A Case of Wernicke's Encephalopathy caused by an Extremely Unbalanced Diet

1999 ◽  
Vol 41 (2) ◽  
pp. 21-23
Author(s):  
Takeshi YONEDA ◽  
Sayo TAGASHIRA ◽  
Akiko KITA ◽  
Megumi MATSUURA ◽  
Kanji TAKATSUGU
Keyword(s):  
Wernicke’S Encephalopathy ◽  
Wernicke's Encephalopathy ◽  
Unbalanced Diet

scholarly journals Development of Wernicke’s encephalopathy long after subtotal stomach-preserving pancreatoduodenectomy: a case report

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Chikanori Tsutsumi ◽  
Toshiya Abe ◽  
Tomohiko Shinkawa ◽  
Hideyuki Watanabe ◽  
Kazuyoshi Nishihara ◽  
...  
Keyword(s):  
Short Term Memory ◽  
Chronic Alcoholism ◽  
Ampulla Of Vater ◽  
Wernicke’S Encephalopathy ◽  
Wernicke's Encephalopathy ◽  
Post Surgery ◽  
Level Of Consciousness ◽  
Fluid Attenuated Inversion Recovery ◽  
After Effect ◽  
Thiamine Level

Abstract Background Wernicke’s encephalopathy (WE) is an acute neuropsychiatric disorder resulting from thiamine (vitamin B1) deficiency, frequently associated with chronic alcoholism and total parenteral nutrition without thiamine. However, only a few reports have focused on the relationship between WE and subtotal stomach-preserving pancreatoduodenectomy (SSPPD). Case presentation A 71-year-old woman underwent SSPPD for an adenocarcinoma of the ampulla of Vater. Although there had been no evidence of recurrence, the patient was treated with antibiotics for cholangitis at 12 and 31 months, respectively, post-surgery. Thereafter, the patient presented with vomiting and disorientation 33 months after surgery. Although she was admitted and underwent closer inspection by a neurologist and a psychiatrist, the exact cause of these syndromes remained unknown. The psychiatrist measured thiamine concentration to examine the cause of disorientation. After 6 days, her level of consciousness worsened. Magnetic resonance imaging of the head showed symmetrically multiple abnormal hyperintense signals on fluid-attenuated inversion-recovery and diffusion weighted image, compatible with WE. An administration of intravenous thiamine was immediately initiated. After 8 days of the measurement of the thiamine level, the patient’s serum thiamine level was found to be 6 µg/mL (reference range, 24–66 µg/mL). Accordingly, the patient was diagnosed with WE. Shortly after starting the treatment, blood thiamine value reached above normal range with significant improvement of her confusional state. However, short-term memory and ataxia remained. Conclusions Development of WE after SSPPD is uncommon. However, to prevent an after-effect, the possibility of development of WE after SSPPD should be recognized.

scholarly journals Non-alcoholic Wernicke’s encephalopathy: toxic ingestion or an honest mis-steak?

2021 ◽  
Vol 11 (1) ◽  
pp. 147-151
Author(s):  
Salahuddin Nasir ◽  
Moustafa Abou Areda ◽  
Elise L. Ma ◽  
Robert D. Chow ◽  
Avelino Verceles ◽  
...  
Keyword(s):  
Wernicke’S Encephalopathy ◽  
Wernicke's Encephalopathy ◽  
Toxic Ingestion

scholarly journals Total parenteral nutrition-induced Wernicke’s encephalopathy after oncologic gastrointestinal surgery

Open Medicine ◽  
2020 ◽  
Vol 15 (1) ◽  
pp. 709-713
Author(s):  
Piergiorgio Fedeli ◽  
Richard Justin Davies ◽  
Roberto Cirocchi ◽  
Georgi Popivanov ◽  
Paolo Bruzzone ◽  
...  
Keyword(s):  
Parenteral Nutrition ◽  
Total Parenteral Nutrition ◽  
Gastrointestinal Surgery ◽  
Vitamin B1 ◽  
Wernicke’S Encephalopathy ◽  
Wernicke's Encephalopathy ◽  
Vitamin Intake ◽  
Unbalanced Diet ◽  
Prolonged Hospital ◽  
Care Costs

AbstractCarl Wernicke described the disease bearing his name in 1881 and reported three cases characterized by the presence of mental confusion, ataxia, and ophthalmoplegia. Wernicke’s disease is mainly observed in alcoholic patients, due to decreased vitamin intake as a consequence of an unbalanced diet, and a reduction of absorption due to the effects of alcohol. Likewise, inadequate vitamin intake is prevalent in older patients. Wernicke’s encephalopathy due to inappropriate total parenteral nutrition (TPN) occurs infrequently; recently, there is an increase in the literature concerning Wernicke’s encephalopathy in patients after general and bariatric surgeries. We present two cases of Wernicke’s encephalopathy after oncologic gastrointestinal surgery by failure to administer vitamin B1 during TPN; to our knowledge, these are the first two cases of Wernicke’s encephalopathy after colorectal surgery for cancer. In our opinion, timely diagnosis and treatment are mandatory to avoid nonfunctional recovery and consequent malpractice legal actions as well as an increase in the health-care costs correlated with the prolonged hospital stay and with the nonfunctional recovery.

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