title: Two pregnant women with vomiting and fits.
abstract: Two women with hyperemesis gravidarum were first seen with a short history of confusion diplopia, unsteadiness, and fits caused by Wernicke's encephalopathy. The neurologic presentation had been precipitated by a carbohydrate load inadvertently administered without vitamin supplementation. We stress the importance of prescribing thiamine supplements to all women with prolonged vomiting during pregnancy.
authors.affiliation: Department of Neurology, Royal Free Hospital, London, United Kingdom.
authors.forename: J H
authors.initials: JH
authors.lastname: Rees
authors.forename: L
authors.initials: L
authors.lastname: Ginsberg
authors.forename: A H
authors.initials: AH
authors.lastname: Schapira
mesh_terms: D000328:Adult; D004830:Epilepsy, Tonic-Clonic / Q000209:etiology*; D005260:Female; D006801:Humans; D009759:Nystagmus, Pathologic / Q000209:etiology; D011247:Pregnancy; D011248:Pregnancy Complications; D013831:Thiamine / Q000627:therapeutic use; D014786:Vision Disorders / Q000209:etiology; D014839:Vomiting / Q000188:drug therapy / Q000209:etiology*; D014899:Wernicke Encephalopathy / Q000150:complications*
chemical_list: D013831:Thiamine