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Wernicke Encephalopathy.

Patricia F Jenkins¹

¹From the Neuro-Ophthalmology of Texas Medical Clinic, Houston, Texas.

The American Orthoptic Journal

|November 14, 2015

Summary

This summary is machine-generated.

Bariatric surgery patients may develop Wernicke encephalopathy due to nutrient deficiencies. Prompt vitamin supplementation can significantly improve neurological symptoms like double vision.

Keywords:

Wernicke encephalopathy ataxia diplopia mental confusion obesity surgery oscillopsia

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Area of Science:

Neurology
Nutritional Science
Bariatric Surgery

Background:

Malnutrition and neurological deficits can arise from deficiencies in essential nutrients and vitamins.
The increasing incidence of bariatric surgery for obesity correlates with a rise in malnutrition-related complications.

Observation:

A case report details a patient who developed diplopia and oscillopsia following gastric sleeve surgery.
The patient's symptoms emerged two months post-surgery due to non-adherence with prescribed vitamin supplements.

Findings:

Neurological impairments, including Wernicke encephalopathy, are increasingly observed in patients undergoing bariatric surgery.
Prompt treatment with thiamine (vitamin B1) supplementation led to significant symptom improvement in the reported case.

Implications:

Wernicke encephalopathy should be considered in the differential diagnosis for patients with recent-onset neurological symptoms after bariatric surgery.
Clinicians should inquire about bariatric surgery history and assess for nutritional deficiencies in at-risk patients.