同时的韦尼克脑病变和后部可逆脑病症综合征,在胃袖手术后
Annika L Chang1, Doowon Huh2, Kirsten Winter2
1University of Pittsburgh School of Medicine, Pittsburgh, PA.
Ochsner journal
|September 25, 2025
概括
同时的韦尼克脑病变和后倒置脑病变综合征可以发生在减肥手术后. 提前诊断和治疗胺缺乏症对于改善神经眼科结果至关重要.
科学领域:
- 神经学 神经学
- 眼科医生 眼科 眼科
- 营养科学 营养科学
背景情况:
- 韦尼克脑病 (Wernicke encephalopathy,简称WE) 是一种严重的胺缺乏症的疾病,通常与酒精以及其他营养缺乏症有关.
- 后回性脑病综合征 (PRES) 是一种急性神经疾病,涉及可逆血管性,经常与高血压有关.
- 这个案例突出了WE和PRES的同时出现.
研究的目的:
- 报告一个患有尼克脑病并发症和后倒置脑病综合征的病例,该病例发生在一个患有腹腔外科手术后的患者身上.
- 强调神经眼科症状在早期诊断中的重要性.
- 要强调眼科医生在识别这些疾病中的作用.
主要方法:
- 一个26岁的女性经过腹腔镜袖子胃切除术后的病例报告.
- 临床检查,神经成像 (MRI) 和生物化学评估胺缺乏.
- 治疗包括提氨酸补充和抗高血压疗法.
主要成果:
- 这位患者出现了心力衰竭,混乱,视力模糊和眼.
- 根据临床和MRI发现,诊断出硫胺缺乏症 (WE) 和PRES.
- 治疗导致视力敏度改善和水的解决,尽管阴影持续存在.
结论:
- 神经眼科症状可以是WE和PRES的早期指标.
- 眼科医生在识别这些疾病方面发挥着至关重要的作用,特别是在腹部外科手术后的患者中.
- 需要一个高的怀疑指数,以避免在这个人群中忽视WE.
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