1.Wernicke-Korsakoff Syndrome Associated with Hyperemesis Gravidarum.
Chang Kyoon YOON ; Moo Hwan CHANG ; Dong Cho LEE
Korean Journal of Ophthalmology 2005;19(3):239-242
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.
Vision Disorders/*etiology
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*Pregnancy Complications
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Pregnancy
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Korsakoff Syndrome/*etiology/*physiopathology
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*Hyperemesis Gravidarum
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Humans
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Female
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Eye Diseases/*etiology
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Adult