title: Total parenteral nutrition caused Wernicke's encephalopathy accompanied by wet beriberi.
abstract: METHODS
  Female, 17 FINAL DIAGNOSIS: Wernicke's encephalopathy Symptoms: Blurred vision • dizziness • nystygmus • tachycardia
  
  
  METHODS
  - Clinical Procedure: - Specialty: Neurology.
  
  
  OBJECTIVE
  Mistake in diagnosis.
  
  
  BACKGROUND
  Wernicke's encephalopathy (WE) is an acute and life-threatening illness which is not only seen in alcoholics, but also in persons with poor nutrition lacking thiamine (vitamin B1).
  
  
  METHODS
  Here, we presented a case of WE in a patient who received parenteral nutrition without complement of thiamine. Besides neuropsychiatric problems, she also manifested prominent cardiovascular abnormalities, which were consistent with wet beriberi.
  
  
  CONCLUSIONS
  This case emphasizes the need for thiamine supplementation in prolonged total parenteral nutrition, and also highlights the awareness of WE in persons with parenteral nutrition lacking thiamine. More importantly, we call for attention to wet beriberi in such persons.
authors: Department of Neurology, Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
authors: Ling
authors: L
authors: Long
authors: Department of Neurology, Sixth Affiliated Hospital, Sun Yat-Sen University (Guangdong Gastrointestinal and Anal Hospital), Guangzhou, China.
authors: Xiao-Dong
authors: XD
authors: Cai
authors: Department of Neurology, Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
authors: Jian
authors: J
authors: Bao
authors: Department of Neurology, Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
authors: Ai-Min
authors: AM
authors: Wu
authors: Department of Neurology, Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
authors: Qing
authors: Q
authors: Tian
authors: Department of Neurology, Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
authors: Zheng-Qi
authors: ZQ
authors: Lu
keywords: Beriberi; Parenteral Nutrition; Thiamine Deficiency; Total – adverse effects; Wernicke Encephalopathy