Eurasian Journal of Critical Care

Yazarlar: Şerife ÖZDİNÇ, Hayri DEMİRBAŞ, Elif YILDIRIM

Konular:Yoğun Bakım, Tıp

Anahtar Kelimeler:Wernicke encephalopathy,Thiamine,Delirium,Gait ataxia,Gastrointestinal tract diseases,Emergency room

Özet: Wernicke encephalopathy (WE) is a life-threatening neurological  illness caused by thiamine deficiency. Chronic alcoholism is one of the most important cause of WE, however, WE may develop in other conditions, such as severe malnutrition, hyperemesis gravidarum, prolonged parenteral nutrition, malignancies, bariatric surgery. WE is presenting with classical findings of cerebellar, ocular and confusion. Diagnosis of WE is usually made by history and physical examination. The aim of the treatment is the rapid correction of thiamine deficiency. In this report, we present a patient who with WE had gastrointestinal tract diseases and had undergone gastrointestinal surgeries and discuss predisposing factors as well as diagnostic and therapeutic issues related to this entity.

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