Wernicke-Korsakoff syndrome associated with hyperemesis gravidarum.
OBJECTIVE
The authors hereby describe a case of Wernicke-Korsakoff syndrome with accompanying ocular findings that is caused by hyperernesis gravidarum.


METHODS
We experienced a 27-year-old female at 12 weeks of pregnancy, who visited our clinic because of weight loss, gait disturbance, decreased mentality and dizziness after prolonged vomiting for 2 months. Neurological examination demonstrated ataxia of gait and loss of orientation. Ophthalmologic examination showed decreased visual acuity, upbeat nystagmus, diplopia and retinal hemorrhage.


RESULTS
We report a relatively rare case of Wernicke-Korsakoff syndrome with ophthalmic symptoms induced by hyperemesis gravidarum.


CONCLUSIONS
If a pregnant women has symptoms of severe vomiting along with other ocular findings such as retinal hemorrhage or restricted extraocular movement, one must suspect the diagnosis of Wernicke-Korsakoff syndrome, and should start appropriate treatment immediately.
Yoon
Chang-Kyoon
CK
Department of Ophthalmology, Dankook University College of Medicine, Cheonan, Korea.
Chang
Moo-Hwan
MH
Lee
Dong-Cho
DC
D000328:Adult; D005128:Eye Diseases / Q000209:etiology*; D005260:Female; D006801:Humans; D006939:Hyperemesis Gravidarum; D020915:Korsakoff Syndrome / Q000209:etiology* / Q000503:physiopathology*; D011247:Pregnancy; D011248:Pregnancy Complications; D014786:Vision Disorders / Q000209:etiology*