A Case of Wernicke Encephalopathy Developing After Ileal Bypass Surgery
| Autor: | Ali Cansu, Mustafa Tuşat, Sibel Kul, Nezir Ozgun, Tülay Kamaşak |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Pediatrics
medicine.medical_specialty Ataxia Ileus medicine.medical_treatment Anorexia 03 medical and health sciences Hyperemesis gravidarum 0302 clinical medicine medicine Humans Wernicke Encephalopathy 030212 general & internal medicine Thiamine Child Digestive System Surgical Procedures business.industry Brain General Medicine medicine.disease Magnetic Resonance Imaging Parenteral nutrition Pediatrics Perinatology and Child Health Emergency Medicine Partial ileal bypass surgery Female Parenteral Nutrition Total medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Pediatric emergency care. 34(12) |
| ISSN: | 1535-1815 |
| Popis: | Wernicke encephalopathy is an acute neurological problem resulting from thiamine deficiency and manifesting with mental confusion, oculomotor dysfunction, and ataxia. It is associated with alcohol dependence in adults. Preparatory factors include hyperemesis gravidarum, prolonged diarrhea, prolonged parental nutrition without vitamin support, absorption disorders, anorexia, cancer, and chemotherapy. Failure to consider the clinical findings and preparatory factors of this disease, which is rare in children, can delay diagnosis. This report describes a case of Wernicke encephalopathy developing in a patient with brid ileus and receiving total parenteral nutrition after partial ileal bypass surgery. The patient's clinical and cranial magnetic resonance findings were compatible with Wernicke encephalopathy. Although these are not widespread, typical ocular findings for Wernicke encephalopathy were present. Dramatic improvements were observed in clinical, ocular, and cranial magnetic resonance findings after treatment. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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