A Case of Werniche's Encephalopathy in Hyperemesis Grevidarum.
- Author:
Hye Sung WON
;
Pyl Ryang LEE
;
In Sik LEE
;
Ahm KIM
;
Jung Eun MOK
;
Hye Jin SHIN
;
Hye Kyung YOO
- Publication Type:Case Report
- Keywords:
Werniche's encephalopathy;
Hyperemesis gravidarum
- MeSH:
Ataxia;
Carbohydrate Metabolism;
Female;
Glucose;
Humans;
Hyperemesis Gravidarum;
Paresis;
Pregnancy;
Thiamine
- From:Korean Journal of Perinatology
1998;9(1):31-34
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Werniche's encephalopathy is clinically characterized by the acute onset of global confusion, ataxia, gaze paresis, and nystagmus. It result from a deficiency in thiamine, an essential coenzyme in intermediate carbohydrate metabolism. The prompt use of thiamine prevents progression of the disease and reverses those lesions that have not yet progressed to the point of fixed structural change. We experienced a case of Wemiches encephalopathy associated with hyperemesis gravidarum, which happens to the patient who are injected only dextrose without thiamine. Therefore, we emphasize the need of thiamine replacement in hyperemesis gravidarum.
