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J Yeungnam Med Sci > Volume 21(1); 2004 > Article
Yeungnam University Journal of Medicine 2004;21(1):91-95.
DOI: https://doi.org/10.12701/yujm.2004.21.1.91    Published online June 30, 2004.
A Case of Wernicke's Encephalopathy Associated with Hyperemesis Gravidarum.
Seung Hyun Lee, Se Jin Lee, Yun Kyung Lee, Jung Sang Ha, Jun Lee
Department of Neurology College of Medicine, Yeungnam University, Daegu, Korea. sjlee@med.yu.ac.kr
Abstract
Wernicke's encephalopathy is an acute-onset illness characterized by mental confusion, ataxia and ophthalmoplegia due to a thiamine deficiency. Immediate administration of thiamine prevents progression of the disease and reverses brain lesions. We have experienced a case of Wernicke's encephalopathy associated with hyperemesis gravidarum. As Wernicke's encephalopathy is mostly associated with chronic alcoholism, the possibility of Wernicke's encephalopathy may be ignored in young women. We emphasize the need for thiamine supplementation in the patient requiring intravenous alimentation such as hyperemesis gravidarum.
Key Words: Wernicke's encephalopathy, Thiamine, Hyperemesis gravidarum


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