Wernicke-Korsakoff Syndrome Associated with Hyperemesis Gravidarum.
10.3341/kjo.2005.19.3.239
- Author:
Chang Kyoon YOON
1
;
Moo Hwan CHANG
;
Dong Cho LEE
Author Information
1. Department of Ophthalmology, Dankook University College of Medicine, Cheonan, Korea. cataract@empal.co.kr
- Publication Type:Case Reports ; Review
- Keywords:
Hyperemesis gravidarum;
Pregnancy;
Retinal hemorrhage;
Thiamine deficiency;
Wernicke-Korsakoff syndrome
- MeSH:
Vision Disorders/*etiology;
*Pregnancy Complications;
Pregnancy;
Korsakoff Syndrome/*etiology/*physiopathology;
*Hyperemesis Gravidarum;
Humans;
Female;
Eye Diseases/*etiology;
Adult
- From:Korean Journal of Ophthalmology
2005;19(3):239-242
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: The authors hereby describe a case of Wernicke-Korsakoff syndrome with accompanying ocular findings that is caused by hyperernesis gravidarum. METHODS: We experienced a 27-year-old female at 12 weeks of pregnancy, who visited our clinic because of weight loss, gait disturbance, decreased mentality and dizziness after prolonged vomiting for 2 months. Neurological examination demonstrated ataxia of gait and loss of orientation. Ophthalmologic examination showed decreased visual acuity, upbeat nystagmus, diplopia and retinal hemorrhage. RESULTS: We report a relatively rare case of Wernicke-Korsakoff syndrome with ophthalmic symptoms induced by hyperemesis gravidarum. CONCLUSIONS: If a pregnant women has symptoms of severe vomiting along with other ocular findings such as retinal hemorrhage or restricted extraocular movement, one must suspect the diagnosis of Wernicke-Korsakoff syndrome, and should start appropriate treatment immediately.
