A Case of Wernicke's Encephalopathy Caused by Hyperemesis Gravidarum Complicated with Thyroid Storm and Abnormal Liver Function / 대한내분비학회지
Journal of Korean Society of Endocrinology
; : 247-251, 1998.
Article
ي Ko
| WPRIM
| ID: wpr-108529
المكتبة المسؤولة:
WPRO
ABSTRACT
A 27-year-old woman developed Wemicke's encephalopathy in the 16th week of her first pregnaney. She had thyroid storm and abnormal liver function. Her thyrotoxic symptom and abncemal liver function was recovered after medication of antithyroid drug, steroid, hepatotonic drug and administration of thiamine(fursulthiamin), but the fetus was lost, Thereafter her thyroid function returned to normal and euthyroid state was maintained without medication of antithyroid drug, but her neurological defect was remained. We suggest that severe hyperemesis gravidarum is a possible risk factor of the thyroid storm and Wemicke's encephalopathy in patients with hyperthyroidism, and consider the check of the thyroid function. The need for parenteral thiamine supplementation and medication of antithyroid drug is warranted in patients with severe hyperemesis gravidarum which lasts longer than 3 weeks and abnormal thyroid function.
Key words
النص الكامل:
1
الفهرس:
WPRIM
الموضوع الرئيسي:
Thiamine
/
Thyroid Gland
/
Wernicke Encephalopathy
/
Thyroid Crisis
/
Risk Factors
/
Fetus
/
Hyperemesis Gravidarum
/
Hyperthyroidism
/
Liver
نوع الدراسة:
Etiology_studies
/
Risk_factors_studies
المحددات:
Adult
/
Female
/
Humans
/
Pregnancy
اللغة:
Ko
مجلة:
Journal of Korean Society of Endocrinology
السنة:
1998
نوع:
Article