Thiamine refractory Wernickes encephalopathy reversed with magnesium therapy
| Autor: | Richard Liston, John Joseph Coughlan, Meghan Wafer, Thomas Mross |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male 0301 basic medicine medicine.medical_specialty Ataxia Nystagmus 030105 genetics & heredity Article 03 medical and health sciences 0302 clinical medicine Refractory medicine Humans Magnesium Wernicke Encephalopathy Thiamine business.industry General Medicine Emergency department Surgery Anesthesia Intention tremor Upbeat nystagmus medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | BMJ Case Reports. :bcr2016218046 |
| ISSN: | 1757-790X |
| DOI: | 10.1136/bcr-2016-218046 |
| Popis: | A 34-year-old man was presented to our emergency department in alcohol withdrawal. Despite initial treatment with high-dose intravenous thiamine therapy he went on to develop nystagmus (video 1), ataxia, pass pointing, intention tremor and worsening confusion. He was diagnosed with Wernickes encephalopathy, an acute neuropsychiatric syndrome resulting from thiamine deficiency.1 Video 1 Our patient demonstrates bilateral vertically upbeat nystagmus. His serum magnesium levels were found to be … |
| Databáze: | OpenAIRE |
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