scholarly journals Monocular patching attenuates vertical nystagmus in Wernicke‘s Encephalopathy via release of activity in subcortical visual pathways

2021 ◽  
Author(s):  
Christoph Helmchen ◽  
Björn Machner ◽  
Andreas Sprenger ◽  
David S. Zee
Keyword(s):  
Visual Pathways ◽  
Wernicke’S Encephalopathy ◽  
Wernicke's Encephalopathy ◽  
Vertical Nystagmus ◽  
Subcortical Visual Pathways

Vertical nystagmus in Wernicke’s encephalopathy: pathogenesis and role of central processing of information from the otoliths

2019 ◽  
Vol 266 (S1) ◽  
pp. 139-145 ◽  
Author(s):  
Jorge C. Kattah ◽  
Collin McClelland ◽  
David S. Zee
Keyword(s):  
Wernicke’S Encephalopathy ◽  
Wernicke's Encephalopathy ◽  
Central Processing ◽  
Vertical Nystagmus

An Entity After Bariatric Surgery: Wernicke’s Encephalopathy

2017 ◽  
Vol 1 (2) ◽  
pp. 102-104
Author(s):  
Handan AKAR ◽  
Bilge PİRİ ÇİNAR
Keyword(s):  
Bariatric Surgery ◽  
Wernicke’S Encephalopathy ◽  
Wernicke's Encephalopathy

scholarly journals A Case of Wernicke's Encephalopathy caused by an Extremely Unbalanced Diet

1999 ◽  
Vol 41 (2) ◽  
pp. 21-23
Author(s):  
Takeshi YONEDA ◽  
Sayo TAGASHIRA ◽  
Akiko KITA ◽  
Megumi MATSUURA ◽  
Kanji TAKATSUGU
Keyword(s):  
Wernicke’S Encephalopathy ◽  
Wernicke's Encephalopathy ◽  
Unbalanced Diet

scholarly journals Development of Wernicke’s encephalopathy long after subtotal stomach-preserving pancreatoduodenectomy: a case report

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Chikanori Tsutsumi ◽  
Toshiya Abe ◽  
Tomohiko Shinkawa ◽  
Hideyuki Watanabe ◽  
Kazuyoshi Nishihara ◽  
...  
Keyword(s):  
Short Term Memory ◽  
Chronic Alcoholism ◽  
Ampulla Of Vater ◽  
Wernicke’S Encephalopathy ◽  
Wernicke's Encephalopathy ◽  
Post Surgery ◽  
Level Of Consciousness ◽  
Fluid Attenuated Inversion Recovery ◽  
After Effect ◽  
Thiamine Level

Abstract Background Wernicke’s encephalopathy (WE) is an acute neuropsychiatric disorder resulting from thiamine (vitamin B1) deficiency, frequently associated with chronic alcoholism and total parenteral nutrition without thiamine. However, only a few reports have focused on the relationship between WE and subtotal stomach-preserving pancreatoduodenectomy (SSPPD). Case presentation A 71-year-old woman underwent SSPPD for an adenocarcinoma of the ampulla of Vater. Although there had been no evidence of recurrence, the patient was treated with antibiotics for cholangitis at 12 and 31 months, respectively, post-surgery. Thereafter, the patient presented with vomiting and disorientation 33 months after surgery. Although she was admitted and underwent closer inspection by a neurologist and a psychiatrist, the exact cause of these syndromes remained unknown. The psychiatrist measured thiamine concentration to examine the cause of disorientation. After 6 days, her level of consciousness worsened. Magnetic resonance imaging of the head showed symmetrically multiple abnormal hyperintense signals on fluid-attenuated inversion-recovery and diffusion weighted image, compatible with WE. An administration of intravenous thiamine was immediately initiated. After 8 days of the measurement of the thiamine level, the patient’s serum thiamine level was found to be 6 µg/mL (reference range, 24–66 µg/mL). Accordingly, the patient was diagnosed with WE. Shortly after starting the treatment, blood thiamine value reached above normal range with significant improvement of her confusional state. However, short-term memory and ataxia remained. Conclusions Development of WE after SSPPD is uncommon. However, to prevent an after-effect, the possibility of development of WE after SSPPD should be recognized.

scholarly journals Non-alcoholic Wernicke’s encephalopathy: toxic ingestion or an honest mis-steak?

2021 ◽  
Vol 11 (1) ◽  
pp. 147-151
Author(s):  
Salahuddin Nasir ◽  
Moustafa Abou Areda ◽  
Elise L. Ma ◽  
Robert D. Chow ◽  
Avelino Verceles ◽  
...  
Keyword(s):  
Wernicke’S Encephalopathy ◽  
Wernicke's Encephalopathy ◽  
Toxic Ingestion

scholarly journals Total parenteral nutrition-induced Wernicke’s encephalopathy after oncologic gastrointestinal surgery

Open Medicine ◽  
2020 ◽  
Vol 15 (1) ◽  
pp. 709-713
Author(s):  
Piergiorgio Fedeli ◽  
Richard Justin Davies ◽  
Roberto Cirocchi ◽  
Georgi Popivanov ◽  
Paolo Bruzzone ◽  
...  
Keyword(s):  
Parenteral Nutrition ◽  
Total Parenteral Nutrition ◽  
Gastrointestinal Surgery ◽  
Vitamin B1 ◽  
Wernicke’S Encephalopathy ◽  
Wernicke's Encephalopathy ◽  
Vitamin Intake ◽  
Unbalanced Diet ◽  
Prolonged Hospital ◽  
Care Costs

AbstractCarl Wernicke described the disease bearing his name in 1881 and reported three cases characterized by the presence of mental confusion, ataxia, and ophthalmoplegia. Wernicke’s disease is mainly observed in alcoholic patients, due to decreased vitamin intake as a consequence of an unbalanced diet, and a reduction of absorption due to the effects of alcohol. Likewise, inadequate vitamin intake is prevalent in older patients. Wernicke’s encephalopathy due to inappropriate total parenteral nutrition (TPN) occurs infrequently; recently, there is an increase in the literature concerning Wernicke’s encephalopathy in patients after general and bariatric surgeries. We present two cases of Wernicke’s encephalopathy after oncologic gastrointestinal surgery by failure to administer vitamin B1 during TPN; to our knowledge, these are the first two cases of Wernicke’s encephalopathy after colorectal surgery for cancer. In our opinion, timely diagnosis and treatment are mandatory to avoid nonfunctional recovery and consequent malpractice legal actions as well as an increase in the health-care costs correlated with the prolonged hospital stay and with the nonfunctional recovery.

Wernicke’s encephalopathy in women with hyperemesis gravidarum – Case series and literature review

2021 ◽  
pp. 004947552110143
Author(s):  
Makarand Anil Rane ◽  
Hari Kishan Boorugu ◽  
Usha Ravishankar ◽  
S Tarakeswari ◽  
Hemamalini Vadlamani ◽  
...  
Keyword(s):  
Hyperemesis Gravidarum ◽  
Rare Complication ◽  
Case Series ◽  
Wernicke’S Encephalopathy ◽  
Wernicke's Encephalopathy ◽  
Chronic Alcohol Abuse ◽  
Delayed Treatment ◽  
Altered Mental State ◽  
Short And Long Term ◽  
Clinical Triad

Whilst nausea affects around 80% of pregnant women, hyperemesis gravidarum, an extreme form of the same, affects only 0.5% to 3%, but may lead to severe nutritional deficiency. Wernicke’s encephalopathy is an acute neuropsychiatric disorder which occurs due to thiamine deficiency and needs emergency treatment to prevent neurological morbidity and mortality. Wernicke’s encephalopathy is characterised by a clinical triad of oculomotor abnormalities, cerebellar dysfunction and altered mental state. Korsakoff’s psychosis is a chronic condition and consequence of Wernicke’s encephalopathy, resulting from its delayed treatment. Wernicke’s encephalopathy is a well-known complication of chronic alcohol abuse. Not many are aware of its association with hyperemesis gravidarum. Although it is a rare complication, if not diagnosed and treated promptly, it may result in permanent and irreversible neurological sequelae. The objective of our retrospective observational study was to analyse the clinical profile and outcome (short and long term) in a rare yet preventable complication of pregnancy.

scholarly journals The vestibulo-ocular reflexes during head impulse in Wernicke's encephalopathy

2007 ◽  
Vol 78 (10) ◽  
pp. 1161-1162 ◽  
Author(s):  
K.-D. Choi ◽  
S.-Y. Oh ◽  
H.-J. Kim ◽  
J. S. Kim
Keyword(s):  
Wernicke’S Encephalopathy ◽  
Wernicke's Encephalopathy ◽  
Head Impulse
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