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Wernicke's encephalopathy following hyperemesis gravidarum
Sandeep Kantor1, Sadanandan Prakash1, Juhi Chandwani1
1Division of Anesthesia and Critical Care, Royal Hospital, Muscat, Oman.
Abstract:
Wernicke's encephalopathy (WE) is a potentially reversible yet serious neurological manifestation caused by vitamin B1(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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