Wernicke′s encephalopathy following hyperemesis gravidarum
Juhi Chandwani, Sandeep Kantor, Kalpana Sarma, Maher J. Albahrani
Keywords :
Central pontine myelinolysis, hyperemesis gravidarum, Wernicke′s encephalopathy
Citation Information :
Chandwani J, Kantor S, Sarma K, Albahrani MJ. Wernicke′s encephalopathy following hyperemesis gravidarum. Indian J Crit Care Med 2014; 18 (3):164-166.
Wernicke′s encephalopathy (WE) is a potentially reversible yet serious neurological manifestation caused by vitamin B 1 (thiamine) deficiency. It is commonly associated with heavy alcohol consumption. Other clinical associations are with hyperemesis gravidarum (HG), starvation, and prolonged intravenous feeding. Most patients present with the triad of ocular signs, ataxia, and confusion. It can be associated with life-threatening complication like central pontine myelinolysis (CPM). We report two cases of WE following HG, with two different outcomes.
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