Complete recovery in Wernicke's encephalopathy complicating hyperemesis gravidarum.
BMJ Case Rep
; 12(2)2019 Feb 07.
Article
em En
| MEDLINE
| ID: mdl-30737323
ABSTRACT
Wernicke's encephalopathy (WE) is an uncommon neurological complication in pregnancies complicated with hyperemesis due to thiamine deficiency. In women with hyperemesis, inadvertent glucose administration prior to thiamine supplementation triggers the development of neurological manifestations. Delay in the diagnosis can lead to maternal morbidity, and in one-third of cases may lead to persistence of some neurological deficit. With early recognition and thiamine supplementation, complete recovery is reported. We report a case of WE complicating a case of triplet pregnancy with hyperemesis gravidarum, which highlights the importance of early recognition and treatment, resulting in complete recovery as in the index case.
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Base de dados:
MEDLINE
Assunto principal:
Tiamina
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Encefalopatia de Wernicke
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Infecções por Escherichia coli
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Lactente Extremamente Prematuro
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Hiperêmese Gravídica
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Doenças do Prematuro
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article