Refine your search
Collections
Co-Authors
Journals
Year
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Sharma, Urvashi
- Wernicke’s Encephalopathy – A Complication of Hyperemesis Gravidarum
Abstract Views :200 |
PDF Views:1
Authors
Affiliations
1 Department of Obstetrics and Gynaecology, Apex Plus Super Speciality Hospital, Model Town, Rohtak, Haryana, IN
2 Department of Obstetrics and Gynaecology, Pt. B. D. Sharma, PGIMS, Rohtak, Haryana, IN
3 Department of Radiology, Advanta Super Speciality Hospital And Trauma Centre, Rohtak, Haryana, IN
4 Department of Neurology, Apex Plus Super Speciality Hospital , Model Town, Rohtak, Haryana, IN
1 Department of Obstetrics and Gynaecology, Apex Plus Super Speciality Hospital, Model Town, Rohtak, Haryana, IN
2 Department of Obstetrics and Gynaecology, Pt. B. D. Sharma, PGIMS, Rohtak, Haryana, IN
3 Department of Radiology, Advanta Super Speciality Hospital And Trauma Centre, Rohtak, Haryana, IN
4 Department of Neurology, Apex Plus Super Speciality Hospital , Model Town, Rohtak, Haryana, IN
Source
The Indian Practitioner, Vol 71, No 9 (2018), Pagination: 42-44Abstract
Wernicke’s encephalopathy, a potentially fatal but treatable condition caused by thiamine deficiency, is usually suspected in the setting of chronic alcoholism. It is under-recognized when associated with other conditions. We describe a pregnant woman who presented with acute onset altered sensorium following repeated vomiting. Clinical suspicion, characteristic brain MRI, rapid recovery with thiamine confirmed the diagnosis of wernicke’s encephalopathy. We report this case to illustrate the importance of early recognition of this rare condition and to emphasize the importance of thiamine supplementation in patients of hyperemesis gravidarum in order to avoid a permanent neurological deficit.Keywords
Wernicke’s Encephalopathy, Hyperemesis Gravidarum, Thiamine, MRI.References
- Robin K Wilson, Ralph W Kuncl and Andrea M Corse. Wernicke’s encephalopathy: beyond alcoholism. Nature Clinical Practice Neurology (2006) 2, 54-58
- Gfirdian G, Voros E, Jardiinhizy T, Ungurean A, VCcsei L. Wernicke’s encephalopathy induced by hyperemesis gravidarum. Acta Neurol Scand 1999: 99: 196-198
- Giuseppe Chiossi, Isabella Neri, Milena Cavazzuti, Gianpaolo Basso, and Fabio Facchinetti. Hyperemesis Gravidarum Complicated by Wernicke Encephalopathy: Background, Case Report, and Review of the Literature Obstetrical and gynecological survey 2006; 61( 4 ):255 – 268
- M. Netravathi , S. Sinha , A.B. Taly , P.S. Bindu , R.D. Bharath. Hyperemesis gravidarum induced Wernicke’s encephalopathy: Serial clinical, electrophysiological and MR imaging observations. Journal of the Neurological Sciences 2009;284: 214–216
- The National Research Council Committee on Dietary Allowance. Food and Nutrition Board. Recommended Dietary Allowances, 9th ed. Washington, DC: National Academy of Science, 1980;178-85.
- Davis R, Icke GC. Clinical chemistry of thiamin. Adv Clin Chem 1983;2:93-140.
- TM Anoop, L Rose, MS Sathy, A Kumar, TR Radha, M Thomas Hyperemesis gravidarum-induced Wernicke’s encephalopathy. J R Coll Physicians Edinb 2009; 39:125–8
- Chang-Kyoon Yoon, Moo-Hwan Chang, Dong-Cho lee. Wernicke-Korsakoff syndrome associated with Hyperemesis Gravidarum. Korean Journal of Ophthalmology 2005;19(3):239242
- Galvin R, Brathen G, Ivashynka A, Hillbom M, Tanasescu R, Leone MA. EFNS guidelines for diagnosis, therapy and prevention of Wernicke encephalopathy. Eur J Neurol 2010; 17:1408-18.