Uncommon bilateral optic neuropathy in Wernicke's encephalopathy complicating gravidarum hyperemesis.
Tunis Med
; 101(5): 530-532, 2023 May 05.
Article
em En
| MEDLINE
| ID: mdl-38372521
ABSTRACT
Wernicke encephalopathy (WE) is a rare neurological disorder that results from vitamin B1 (Thiamin) deficiency, classically characterized by the triad of ophtalmoplagia, altered consciousness, and ataxia. WE is often associated with alcoholism, malnutrition, or gastrointestinal diseases with malabsorption. The association of «gravidarum hyperemesis¼ and WE seems to be underestimated. We report a 24-year-old pregnant woman with hyperemesis gravidarum, who presented with decreased visual acuity of both eyes. Fundus examination showed a bilateral stage 2 papillary edema. brain magnetic resonance imaging (MRI) showed bilateral and symmetrical hyper intense lesions on T2-weighted and FLAIR sequences in periaqueductal gray matter, thalamus, and mammillary bodies, which confirmed WE complicated by bilateral optic neuropathy. Her symptoms resolved after thiamine treatment. This case raises of the possibility of optic neuropathy in WE, which is a diagnostic emergency requiring early treatment to prevent complications.
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Coleções:
01-internacional
Contexto em Saúde:
2_ODS3
/
8_ODS3_consumo_sustancias_psicoactivas
Base de dados:
MEDLINE
Assunto principal:
Encefalopatia de Wernicke
/
Doenças do Nervo Óptico
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Alcoolismo
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Hiperêmese Gravídica
Limite:
Adult
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Female
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Humans
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Pregnancy
Idioma:
En
Revista:
Tunis Med
Ano de publicação:
2023
Tipo de documento:
Article