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Urinary incontinence as a main clinical manifestation of early stage Wernicke’s encephalopathy: a case report

Wernicke’s encephalopathy (WE) is a condition caused by a deficiency of vitamin B1. While there have been many reported cases of WE in the literature, there are few reports on the early stages of the disorder. In this report, we present a case of WE with urinary incontinence as the main clinical man...

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Autores principales: He, Haitian, Wang, Kebing, Wang, Yang, Luo, Jinbin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10246772/
https://www.ncbi.nlm.nih.gov/pubmed/37292136
http://dx.doi.org/10.3389/fneur.2023.1157806
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author He, Haitian
Wang, Kebing
Wang, Yang
Luo, Jinbin
author_facet He, Haitian
Wang, Kebing
Wang, Yang
Luo, Jinbin
author_sort He, Haitian
collection PubMed
description Wernicke’s encephalopathy (WE) is a condition caused by a deficiency of vitamin B1. While there have been many reported cases of WE in the literature, there are few reports on the early stages of the disorder. In this report, we present a case of WE with urinary incontinence as the main clinical manifestation. A 62-year-old female patient was admitted to the hospital due to intestinal obstruction and did not receive vitamin B1 supplements for 10 days. Three days after her operation, she developed urinary incontinence. She also had mild mental symptoms, such as a little indifference. After consultation with a urologist and neurologist, the patient was immediately given intramuscular vitamin B1 at a dosage of 200 mg/day. After 3 days of supplementing with vitamin B1, her urinary incontinence and mental symptoms improved and were completely resolved after 7 days of treatment. Surgeons should be aware that when long-term fasting patients have urinary incontinence, it may be a symptom of WE, and they should be supplied with vitamin B1 in a timely manner without extensive examination.
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spelling pubmed-102467722023-06-08 Urinary incontinence as a main clinical manifestation of early stage Wernicke’s encephalopathy: a case report He, Haitian Wang, Kebing Wang, Yang Luo, Jinbin Front Neurol Neurology Wernicke’s encephalopathy (WE) is a condition caused by a deficiency of vitamin B1. While there have been many reported cases of WE in the literature, there are few reports on the early stages of the disorder. In this report, we present a case of WE with urinary incontinence as the main clinical manifestation. A 62-year-old female patient was admitted to the hospital due to intestinal obstruction and did not receive vitamin B1 supplements for 10 days. Three days after her operation, she developed urinary incontinence. She also had mild mental symptoms, such as a little indifference. After consultation with a urologist and neurologist, the patient was immediately given intramuscular vitamin B1 at a dosage of 200 mg/day. After 3 days of supplementing with vitamin B1, her urinary incontinence and mental symptoms improved and were completely resolved after 7 days of treatment. Surgeons should be aware that when long-term fasting patients have urinary incontinence, it may be a symptom of WE, and they should be supplied with vitamin B1 in a timely manner without extensive examination. Frontiers Media S.A. 2023-05-24 /pmc/articles/PMC10246772/ /pubmed/37292136 http://dx.doi.org/10.3389/fneur.2023.1157806 Text en Copyright © 2023 He, Wang, Wang and Luo. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Neurology
He, Haitian
Wang, Kebing
Wang, Yang
Luo, Jinbin
Urinary incontinence as a main clinical manifestation of early stage Wernicke’s encephalopathy: a case report
title Urinary incontinence as a main clinical manifestation of early stage Wernicke’s encephalopathy: a case report
title_full Urinary incontinence as a main clinical manifestation of early stage Wernicke’s encephalopathy: a case report
title_fullStr Urinary incontinence as a main clinical manifestation of early stage Wernicke’s encephalopathy: a case report
title_full_unstemmed Urinary incontinence as a main clinical manifestation of early stage Wernicke’s encephalopathy: a case report
title_short Urinary incontinence as a main clinical manifestation of early stage Wernicke’s encephalopathy: a case report
title_sort urinary incontinence as a main clinical manifestation of early stage wernicke’s encephalopathy: a case report
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10246772/
https://www.ncbi.nlm.nih.gov/pubmed/37292136
http://dx.doi.org/10.3389/fneur.2023.1157806
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