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Ocular Manifestations of Wernicke’s Encephalopathy in a Patient with Hyperemesis Gravidarum Complicating Pregnancy
Wernicke’s encephalopathy (WE) is a condition resulting from thiamine deficiency and has been linked to conditions such as hyperemesis gravidarum, anorexia nervosa, hemodialysis, and chronic alcoholism. The aim of the report is to outline the ocular manifestations of WE. We present the case of a 33-...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Kare Publishing
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10521135/ https://www.ncbi.nlm.nih.gov/pubmed/37766769 http://dx.doi.org/10.14744/bej.2023.03274 |
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author | Ye, Ksheeraja Pius, Chris Diana |
author_facet | Ye, Ksheeraja Pius, Chris Diana |
author_sort | Ye, Ksheeraja |
collection | PubMed |
description | Wernicke’s encephalopathy (WE) is a condition resulting from thiamine deficiency and has been linked to conditions such as hyperemesis gravidarum, anorexia nervosa, hemodialysis, and chronic alcoholism. The aim of the report is to outline the ocular manifestations of WE. We present the case of a 33-year-old woman, who presented in her second trimester of pregnancy with persistent vomiting, nystagmus, ataxia, global confusion as well as hypotonia, and tremors. She was subsequently diagnosed with WE complicating pregnancy. Ophthalmoscopy showed asymmetric superficial retinal hemorrhages at the peripapillary area in both eyes with associated retinal exudates. On treatment with thiamine supplementation, her systemic condition as well as ocular symptoms resolved. This is a rare case outlining the ocular manifestations of WE. This condition may cause serious, lasting neurologic impairments or death if not properly treated. Only 50% of these pregnancies end in the delivery of healthy offspring. Early diagnosis and treatment of these cases can prevent avertable consequences. |
format | Online Article Text |
id | pubmed-10521135 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Kare Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-105211352023-09-27 Ocular Manifestations of Wernicke’s Encephalopathy in a Patient with Hyperemesis Gravidarum Complicating Pregnancy Ye, Ksheeraja Pius, Chris Diana Beyoglu Eye J Case Report Wernicke’s encephalopathy (WE) is a condition resulting from thiamine deficiency and has been linked to conditions such as hyperemesis gravidarum, anorexia nervosa, hemodialysis, and chronic alcoholism. The aim of the report is to outline the ocular manifestations of WE. We present the case of a 33-year-old woman, who presented in her second trimester of pregnancy with persistent vomiting, nystagmus, ataxia, global confusion as well as hypotonia, and tremors. She was subsequently diagnosed with WE complicating pregnancy. Ophthalmoscopy showed asymmetric superficial retinal hemorrhages at the peripapillary area in both eyes with associated retinal exudates. On treatment with thiamine supplementation, her systemic condition as well as ocular symptoms resolved. This is a rare case outlining the ocular manifestations of WE. This condition may cause serious, lasting neurologic impairments or death if not properly treated. Only 50% of these pregnancies end in the delivery of healthy offspring. Early diagnosis and treatment of these cases can prevent avertable consequences. Kare Publishing 2023-09-13 /pmc/articles/PMC10521135/ /pubmed/37766769 http://dx.doi.org/10.14744/bej.2023.03274 Text en Copyright: © 2023 by Beyoglu Eye Training and Research Hospital https://creativecommons.org/licenses/by-nc-sa/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License |
spellingShingle | Case Report Ye, Ksheeraja Pius, Chris Diana Ocular Manifestations of Wernicke’s Encephalopathy in a Patient with Hyperemesis Gravidarum Complicating Pregnancy |
title | Ocular Manifestations of Wernicke’s Encephalopathy in a Patient with Hyperemesis Gravidarum Complicating Pregnancy |
title_full | Ocular Manifestations of Wernicke’s Encephalopathy in a Patient with Hyperemesis Gravidarum Complicating Pregnancy |
title_fullStr | Ocular Manifestations of Wernicke’s Encephalopathy in a Patient with Hyperemesis Gravidarum Complicating Pregnancy |
title_full_unstemmed | Ocular Manifestations of Wernicke’s Encephalopathy in a Patient with Hyperemesis Gravidarum Complicating Pregnancy |
title_short | Ocular Manifestations of Wernicke’s Encephalopathy in a Patient with Hyperemesis Gravidarum Complicating Pregnancy |
title_sort | ocular manifestations of wernicke’s encephalopathy in a patient with hyperemesis gravidarum complicating pregnancy |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10521135/ https://www.ncbi.nlm.nih.gov/pubmed/37766769 http://dx.doi.org/10.14744/bej.2023.03274 |
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