title: Wernicke's encephalopathy: beyond alcoholism.
abstract: BACKGROUND
  A 17-year-old pregnant woman presented to hospital at 19 weeks' gestation with an 8-week history of hyperemesis gravidarum, 16.8 kg of weight loss, and new-onset weakness, dizziness and blurred vision. Examination of the patient showed confusion, papilledema, ophthalmoparesis, nystagmus, reduced hearing and truncal ataxia.
  
  
  METHODS
  Physical examination, abdominal ultrasound, fetal ultrasound, brain MRI, magnetic resonance angiography, magnetic resonance venography and cerebrospinal-fluid analysis.
  
  
  METHODS
  Wernicke's encephalopathy, hyperemesis gravidarum and fetal loss.
  
  
  RESULTS
  Intravenous thiamine repletion and elimination of deficiency risk factors.
authors.affiliation: Department of Neurology, Johns Hopkins University, Baltimore, MD 21287-7519, USA.
authors.forename: Robin K
authors.initials: RK
authors.lastname: Wilson
authors.forename: Ralph W
authors.initials: RW
authors.lastname: Kuncl
authors.forename: Andrea M
authors.initials: AM
authors.lastname: Corse
mesh_terms: D000032:Abortion, Therapeutic; D000293:Adolescent; D005260:Female; D005313:Fetal Death / Q000000981:diagnostic imaging; D006801:Humans; D006939:Hyperemesis Gravidarum; D008279:Magnetic Resonance Imaging; D009460:Neurologic Examination; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis* / Q000473:pathology; D013788:Thalamus / Q000473:pathology; D013831:Thiamine / Q000627:therapeutic use; D014463:Ultrasonography; D014815:Vitamins / Q000627:therapeutic use; D014899:Wernicke Encephalopathy / Q000150:complications / Q000175:diagnosis* / Q000473:pathology
chemical_list: D014815:Vitamins; D013831:Thiamine