A Case of Wernicke Encephalopathy Combined With Disulfiram Intoxication

2013 ◽  
Vol 26 (2) ◽  
pp. 93-98 ◽  
Author(s):  
Elena Tartara ◽  
Simona Fanucchi ◽  
Ignazio D’Errico ◽  
Lisa M. Farina ◽  
Francesca Casoni ◽  
...  
Keyword(s):  
Wernicke Encephalopathy

Wernicke encephalopathy in childhood

2008 ◽  
Vol 39 (05) ◽  
Author(s):  
U Tacke ◽  
A Gerecke ◽  
M Uhl ◽  
R Korinthenberg
Keyword(s):  
Wernicke Encephalopathy

Alcoholic Wernicke Encephalopathy Presenting with Ataxic Gait and Diplopia

2017 ◽  
Vol 18 (1) ◽  
pp. 48-51
Author(s):  
Ki Dong Ko ◽  
Yoon Taek Lee ◽  
Hyun Lee ◽  
Hee Young Hwang ◽  
Kyoung Kon Kim ◽  
...  
Keyword(s):  
Wernicke Encephalopathy ◽  
Ataxic Gait

Gayet-Wernicke encephalopathy with rapid evolution toward dementia in alcoholic dependence – case report

Psihiatru ro ◽  
2019 ◽  
Vol 58 (3) (1) ◽  
pp. 18-20
Author(s):  
Cătălina Crişan ◽  
Laura Grosu ◽  
Oana Vanţa
Keyword(s):  
Case Report ◽  
Thiamine Deficiency ◽  
Withdrawal Syndrome ◽  
Rapid Evolution ◽  
Full Recovery ◽  
Wernicke Encephalopathy ◽  
Korsakoff Syndrome ◽  
Dementia Syndrome ◽  
Patients Experience

Gayet-Wernicke encephalopathy is an acute neuropsychiatric condition caused by thiamine deficiency. Only a small percentage of patients experience all three symptoms, with ophtalmoplegia, ataxia and confusion, and the full triad occurs more frequently among those who have overused alcohol. The evolution is toward full recovery, Korsakoff syndrome, dementia or death. We present the case of a 56-year-old patient, known with a diagnostic of alcoholism, who was admitted for a complicated withdrawal syndrome with delirium and who developed encephalopathy and dementia syndrome.

Neglected woman with hyperemesis gravidarum leading to Wernicke encephalopathy

2020 ◽  
Vol 13 (12) ◽  
pp. e238545
Author(s):  
Papa Dasari ◽  
Smitha Priyadarshini
Keyword(s):  
Grey Matter ◽  
Hyperemesis Gravidarum ◽  
Intravenous Fluids ◽  
State Of Health ◽  
Wernicke Encephalopathy ◽  
Periaqueductal Grey ◽  
Mri Brain ◽  
Good State ◽  
Periaqueductal Grey Matter ◽  
History Of

A teenage primigravida at 13 weeks of gestation presented with hyperemesis gravidarum of 45 days and a history of giddiness and inability to walk due to involuntary movements of limbs and eyes since 2 days. She was treated with intravenous fluids, thiamine and antiemetics. MRI brain showed hyperintensities in bilateral dorsomedial thalami, periaqueductal grey matter in T2-weighted and FLAIR images. A diagnosis of Wernicke encephalopathy was made and she was managed in intensive care unit and received injection thiamine as per the guidelines and her weakness and ataxia improved over 3 weeks and she was discharged at 17 weeks of pregnancy in good state of health.

Suicide attempt in alcohol use disorder and Wernicke encephalopathy: A case report

2016 ◽  
Vol 33 (S1) ◽  
pp. S599-S599
Author(s):  
L. Espinosa ◽  
A. Fortea ◽  
G. Oriolo ◽  
M. Balcells ◽  
C. Oliveras
Keyword(s):  
Risk Factor ◽  
Alcohol Use ◽  
Suicidal Behavior ◽  
Alcohol Use Disorder ◽  
Blood Analysis ◽  
Wernicke Encephalopathy ◽  
Suicidal Attempts ◽  
Competing Interest ◽  
Concomitant Condition ◽  
Image Volume

BackgroundThe relation between alcohol dependence and suicidal behavior is well known and alcohol consumption is a risk factor to take in consideration in order to prevent suicidal attempts. Wernicke encephalopathy (WE) is a common acute neurological disorder caused by thiamine deficiency frequently associated with alcohol use disorder and often infra-diagnosed. Just few cases are reported about the possible correlation between suicidal behaviour and Wernicke encephalopathy.ObjectiveTo describe the possible association between suicidal attempts and Wernicke encephalopathy.MethodsWe report the case of a 57 year old man, with past diagnosis of disthymia and amphetamine abuse disorder, and a history of bariatric surgery, who was hospitalized in the intensive care unit (ICU) of hospital clinic for a suicidal attempt by mean of metro railway precipitation. He presented two episodes of psychomotor agitation in the context of an abstinence syndrome that reverted with midazolam continuous perfusion and clonazepam 8 mg per day. Consequently to medical improvement, he was moved to Psychiatry Unit of Addictive Behavior and finally diagnosed with alcohol use disorder.ResultsIn the physical exam, bilateral nystagmus and cerebellar ataxia were observed. Signs of malnutrition were detected in the blood analysis. In a brain magnetic resonance image, volume deficits in the mammillary bodies, thalamus, cortex and corpus callosum, as well as peri-aqueductal altered signal were observed, all signs compatible with Wernicke encephalopathy diagnoses.ConclusionsWernicke encephalopathy is a frequent concomitant condition in patients with alcohol use disorder. The consequent cognitive decline could represent an independent added risk factor for suicidal behavior.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals A case of Wernicke encephalopathy in a dementia caregiver: The need for nutritional evaluation in family caregivers

2021 ◽  
Author(s):  
Mayumi Ishida ◽  
Nozomu Uchida ◽  
Kumi Itami ◽  
Izumi Sato ◽  
Akira Yoshioka ◽  
...  
Keyword(s):  
Family Caregivers ◽  
Wernicke Encephalopathy ◽  
Nutritional Evaluation ◽  
Dementia Caregiver

scholarly journals Basal Ganglia Involvement in Wernicke Encephalopathy: Report of 2 Cases

2010 ◽  
Vol 32 (7) ◽  
pp. E129-E131 ◽  
Author(s):  
G. Zuccoli ◽  
I. Cravo ◽  
A. Bailey ◽  
A. Venturi ◽  
R. Nardone
Keyword(s):  
Basal Ganglia ◽  
Wernicke Encephalopathy ◽  
Basal Ganglia Involvement

Metabolic Encephalopathy - Part II

2019 ◽  
Author(s):  
Rick Gill ◽  
Matthew McCoyd ◽  
Sean Ruland ◽  
José Biller
Keyword(s):  
Nutritional Intake ◽  
Osmotic Demyelination Syndrome ◽  
Wernicke Encephalopathy ◽  
Metabolic Encephalopathy ◽  
Improve Outcome ◽  
Myxedema Coma ◽  
Hashimoto Encephalopathy ◽  
Korsakoff Syndrome ◽  
Dialysis Disequilibrium Syndrome ◽  
Neurologic Function

Normal neurologic function requires a constantly balanced environment of electrolytes.  Normal hepatic and renal function is critical in maintaining this balance while removing toxins, maintaining a physiologic pH and regulating the excretion of electrolytes.  Nutritional intake provides essential nutrients but deficiencies can lead to characteristic syndromes such as Wernicke's encephalopathy and pellagra and exposure to neurotoxic substances such as heavy metals can lead to encephalopathy.  Thyroid and adrenal dysfunction are common endocrine causes of encephalopathy and symptoms can often improve rapidly with treatment.  A subset of idiopathic encephalopathy is increasingly being recognized as having an autoimmune basis, often presenting as a paraneoplastic process, and having a constellation of symptoms which can aide in the diagnosis.  Timely recognition and treatment of the autoantibodies which target neural structures, with immunosuppressive therapy, can improve outcome in these patients.   This review contains 4 figures, 3 tables, and 42 references. Key words: osmotic demyelination syndrome,hepatic encephalopathy, renal failure, triphasic waves, dialysis disequilibrium syndrome, Wernicke encephalopathy, Korsakoff syndrome, myxedema coma, Hashimoto encephalopathy

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