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Wernicke encephalopathy-a rare complication of hyperemesis gravidarum.
European Journal of Clinical Nutrition ( IF 4.7 ) Pub Date : 2020-03-02 , DOI: 10.1038/s41430-020-0592-9
Miroslav Žigrai 1 , Viera Smetanová 1 , Karin Gmitterová 2 , Petra Klepancová 3 , Milan Vyskočil 4
Affiliation  

We report a rare case of Wernicke encephalopathy (WE) in a 35-year-old woman with hyperemesis gravidarum (HG). Initially, the disease manifested as passivity, a loss of interest, sleeping too much, apathy and disorientation. The correct diagnosis was established after the detection of typical pathological findings of WE in the thalamus by magnetic resonance imaging (MRI), which was indicated for the appearance of eye symptomatology in the form of nystagmus. Subsequent treatment with thiamine led to rapid improvement in the patient's clinical status and a favorable course of pregnancy.

中文翻译:

Wernicke脑病-妊娠剧吐的罕见并发症。

我们报告了一名35岁孕妇妊娠剧吐(HG)的罕见病例Wernicke脑病(WE)。最初,该疾病表现为被动,失去兴趣,睡眠过多,冷漠和迷失方向。通过磁共振成像(MRI)在丘脑中检测到WE的典型病理发现后,可以建立正确的诊断,这表明眼部症状以眼球震颤的形式出现。硫胺素的后续治疗导致患者的临床状况迅速改善,并有利于妊娠。
更新日期:2020-04-24
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