Delayed-onset Wernicke Encephalopathy in a Patient with Gastrectomy.
- Author:
Byung Su KIM
1
;
Chi Hun KIM
;
Woo Sub HWANG
;
Chin Sang CHUNG
;
Dae Won SEO
Author Information
1. Departments of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. dwseo@smc.samsung.co.kr
- Publication Type:Case Report
- Keywords:
Wernicke encephalopathy;
Gastrectomy;
Gastroesophageal reflux
- MeSH:
Brain;
Emergencies;
Gastrectomy;
Gastroesophageal Reflux;
Humans;
Middle Aged;
Thiamine;
Wernicke Encephalopathy
- From:Journal of the Korean Neurological Association
2008;26(1):59-62
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 62-year-old man was transferred to our emergency room because of acute encephalopathy. He was a nondrinker with history of a gastrectomy nineteen years ago. Two weeks before his visit, he had experienced transient poor oral intake due to gastroesophageal reflux (GER). His brain MRI showed definite lesions compatible with Wernicke Encephalopathy (WE). A trivial event like GER can complicate the marginal equilibrium of thiamine and, after a long latent interval following a gastrectomy, may induce delayed-onset WE.
