[Wernicke's encephalopathy and dialysis: report of two cases].
Wernicke encephalopathy is considered a complication of dialytic therapy, but there are few reports of this complication. We report a 57 years old man and a 45 years old woman, with grade IV renal failure, who after acute peritoneodialysis and chronic hemodialysis respectively, had a confusional syndrome that responded to the administration of thiamine. CT scans in both patients discarded abnormal blood collections or new cerebrovascular episodes. The man bad two previous cerebrovascular episodes, a severe anemia that was corrected, angina and an episode of arrhythmia during the dialytic procedure previous to the confusional episode. The woman had an acute uremic syndrome and a concomitant urinary tract infection during the confusional episode. Wernicke encephalopathy must be suspected in patients in dialysis with confusional episodes.
Toro
J
J
Unidad de Nefrología, Hospital Carlos van Buren, Chile.
Sacks
C
C
Fuentes
R
R
D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis / Q000009:adverse effects*; D013832:Thiamine Deficiency / Q000209:etiology; D014899:Wernicke Encephalopathy / Q000175:diagnosis / Q000209:etiology*
Encefalopatía de Wernicke y diálisis: dos casos clínicos.