Diplopia after Sleeve Gastrectomy: The Canary in the Coal Mine.
R I Med J (2013)
; 106(7): 15-17, 2023 08 01.
Article
em En
| MEDLINE
| ID: mdl-37494620
ABSTRACT
Wernicke's encephalopathy (WE) is a neurologic emergency requiring timely intravenous thiamine supplementation to prevent permanent neurologic deficits. Historically, the WE diagnosis was limited to individuals with alcohol use disorder. However, it is now widely recognized to occur in patients who are chronically malnourished, post-bariatric surgery, pregnant with hyperemesis gravidarum, and with severe anorexia nervosa. Here we present a young woman who developed WE after undergoing a recent sleeve gastrectomy followed by protracted emesis for several days. This case underscores the importance of performing a thorough neurological review of systems and physical exam in high-risk patients and having a low clinical threshold to initiate appropriate thiamine treatment.
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Coleções:
01-internacional
Contexto em Saúde:
2_ODS3
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8_ODS3_consumo_sustancias_psicoactivas
Base de dados:
MEDLINE
Assunto principal:
Encefalopatia de Wernicke
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Hiperêmese Gravídica
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
Limite:
Female
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Humans
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Pregnancy
Idioma:
En
Revista:
R I Med J (2013)
Ano de publicação:
2023
Tipo de documento:
Article