A common symptom and a rare presentation - Wernicke’s Encephalopathy; A case report and literature review
Keywords:Wernicke’s encephalopathy, Hyperemesis gravidarum, Antenatal care, Pregnancy, Vitamin B1 deficiency
Wernicke’s encephalopathy (WE) is an uncommon neurological complication in pregnancy resulting from Vitamin B1 deficiency. We report a rare case of Wernicke’s encephalopathy due to hyperemesis gravidarum in a 21-year-old antenatal women of gestational age 19 weeks. Initially, the disease manifested as conscious, disoriented, unsteadiness of gait, nystagmus (horizontal and vertical). The diagnosis was established after the detection of suggestive findings of WE in the thalamus by magnetic resonance imaging (MRI). Hyperemesis is a rare cause of WE, which makes the reported case important in the literature and reinforces the need for attention in clinical practice to rare but important complications of this common condition (hyperemesis gravidarum).
Žigrai M, Smetanová V, Gmitterová K, Klepancová P, Vyskočil M. Wernicke encephalopathy-a rare complication of hyperemesis gravidarum. Eur J Clin Nutr. 2020;74(4):663-665. doi:10.1038/s41430-020-0592-9
Meggs WJ, Lee SK, Parker-Cote JN. Wernicke encephalopathy associated with hyperemesis gravidarum. Am J Emerg Med. 2020;38(3):. doi:10.1016/j.ajem.2019.09.012
Talib V, Sultana S, Hamad A, Yaqoob U. Wernicke Encephalopathy Due to Hyperemesis Gravidarum in Pregnancy: A Case Report. Cureus. 2018;10(7):e2991.doi:10.7759/cureus.2991
Aneja T, Chaturvedula L, Nair PP, Barathi D, Keepanasseril A. Complete recovery in Wernicke's encephalopathy complicating hyperemesis gravidarum. BMJ Case Rep. 2019;12(2):e227530. Published 2019 Feb 7. doi:10.1136/bcr-2018-227530
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