Wernicke's Encephalopathy secondary to Hyperemesis Gravidarum in a 21-year-old patient

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DOI:

https://doi.org/10.37980/im.journal.revcog.20242496

Keywords:

Wernicke's encephalopathy, Hyperemesis Gravidarum, Thiamin

Abstract

INTRODUCTION: Wernicke's encephalopathy (WE), caused by thiamine deficiency, is a potentially fatal but reversible neurological emergency. It can develop in patients with hyperemesis gravidarum, as uncontrollable vomiting leads to decreased food intake, malnutrition and malabsorption. CASE: A 21-year-old patient, primigravida, 13 1/7 weeks pregnant, presented with a 2-month history of nausea and vomiting (> 10 vomiting per day) associated with an episode of lipothymia. The patient was diagnosed with a pregnancy of 13 6/7 weeks, hyperemesis gravidarum and Wernicke's Encephalopathy. It is managed with doses of oral thiamine and transferred to the Obstetrics Intensive Care Unit (ICU). CONCLUSION: Wernicke's encephalopathy is a medical emergency that requires immediate medical treatment. The treatment of choice is the administration of thiamine.

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Published

2024-12-31

Issue

Año 2024 Volumen 28 Número 3

Section

Casos Clínicos

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Copyright (c) 2024 Infomedic Intl.

Derechos autoriales y de reproducibilidad. La Revista RevCog es un ente académico, sin fines de lucro, que forma parte de la Sociedad Centroamericana de Ginecología y Obstetricia.  Sus publicaciones son de tipo ACCESO GRATUITO y PERMANENTE de su contenido para uso individual y académico, sin restricción. Los derechos autoriales de cada artículo son retenidos por sus autores. Al Publicar en la Revista, el autor otorga Licencia permanente, exclusiva, e irrevocable a la Sociedad  para la edición del manuscrito, y otorga a la empresa editorial, Infomedic International Licencia de uso de distribución, indexación y comercial exclusiva, permanente e irrevocable de su contenido y para la generación de productos y servicios derivados del mismo.