Citation
Abstract
Wernicke encephalopathy (WE) is a rare but life-threatening syndrome that is commonly associated with chronic alcoholism. It has also been found to be associated with malnutrition, prolonged parenteral nutrition, hemodialysis, hyperemesis gravidarum, gastroplasty, and AIDS. It usually presents as a clinical triad of confusion, ophthalmoplegia, and gait ataxia. Nystagmus is usually the most common and earliest ophthalmologic sign. We report a case of non-alcoholic WE in a patient who had prior bariatric surgery and was treated for malnutrition and sepsis, with nystagmus being the initial presentation. The MRI of the brain was normal. The diagnosis of WE was made clinically and was supported by the patient's symptomatic and clinical recovery following intravenous thiamine treatment. It is essential to highlight that a high level of suspicion is needed to diagnose non-alcoholic WE to allow the commencement of appropriate treatment and reduce morbidity and mortality rates related to this condition.
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Official URL or Download Paper: https://www.cureus.com/articles/211394-nystagmus-a...
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Additional Metadata
Item Type: | Article |
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Divisions: | Faculty of Medicine and Health Science Hospital Pengajar UPM |
DOI Number: | https://doi.org/10.7759/cureus.52121 |
Publisher: | Springer Science and Business Media |
Keywords: | Vitamin b1 deficiency; Ophthalmoplegia; Nystagmus; Thiamine; Wernicke encephalopathy |
Depositing User: | Ms. Nur Aina Ahmad Mustafa |
Date Deposited: | 29 Apr 2025 04:06 |
Last Modified: | 29 Apr 2025 04:06 |
Altmetrics: | http://www.altmetric.com/details.php?domain=psasir.upm.edu.my&doi=10.7759/cureus.52121 |
URI: | http://psasir.upm.edu.my/id/eprint/117138 |
Statistic Details: | View Download Statistic |
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