fundus findings in wernicke encephalopathy

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ID: 177721
2017
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Ranked #25 of 61 articles by views in bilimsel tamamlayıcı tıp regülasyon ve nöral terapi dergisi

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Abstract
Wernicke encephalopathy (WE) is an acute neuropsychiatric syndrome resulting from thiamine (vitamin B1) deficiency, classically characterized by the triad of ophthalmoplegia, confusion, and ataxia. While commonly associated with chronic alcoholism, WE may also occur in the setting of poor nutrition or absorption. We present a 37-year-old woman who underwent laparoscopic sleeve gastrectomy and presented with visual disturbance with bilateral horizontal nystagmus, confusion, and postural imbalance. Fundus examination revealed bilateral optic disc edema with a retinal hemorrhage in the left eye. Metabolic workup demonstrated thiamine deficiency. Her symptoms resolved after thiamine treatment. This case raises the awareness of the possibility of posterior segment findings in WE, which are underreported in WE.
Reference Key
serlin2017casefundus Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Tal Serlin;Elad Moisseiev
Journal bilimsel tamamlayıcı tıp regülasyon ve nöral terapi dergisi
Year 2017
DOI
10.1159/000478924
URL
http://www.karger.com/Article/FullText/478924
Keywords
fundus sleeve gastrectomy

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