title: [Wernicke's encephalopathy induced by the use of diet pills and unbalanced diet].
abstract: Wernicke's encephalopathy is an acute, potentially life-threatening, neurological syndrome resulting from thiamine deficiency. The disorder is still greatly underdiagnosed and, without prompt treatment, the condition can lead to the chronic form of the disease, Korsakoff's syndrome or even death. In developed countries Wernicke's encephalopathy has been associated with alcoholism, but in recent years there has been an increasing number of non-alcoholic cases. Authors report the case of a 23-year-old woman who developed oculomotor dysfunction, encephalopathy and ataxia as a result of an extreme diet and use of diet pills. The diagnosis of Wernicke's encephalopathy was supported by the resolution of neurological signs after parenteral thiamine replacement. This case is presented because of the rare etiology and diagnostic difficulty, and the latest diagnostic and therapic guidelines are also highlighted.
authors.affiliation: Semmelweis Egyetem, Általános Orvostudományi Kar Neurológiai Klinika Budapest Balassa u. 6. 1083.
authors.forename: Adrián
authors.initials: A
authors.lastname: Tóth
authors.affiliation: Semmelweis Egyetem, Általános Orvostudományi Kar Neurológiai Klinika Budapest Balassa u. 6. 1083.
authors.forename: Gabriella
authors.initials: G
authors.lastname: Aradi
authors.affiliation: Szentágothai Tudásközpont - Semmelweis Egyetem MR Kutatóközpont Budapest.
authors.forename: György
authors.initials: G
authors.lastname: Várallyay
authors.affiliation: Semmelweis Egyetem, Általános Orvostudományi Kar Neurológiai Klinika Budapest Balassa u. 6. 1083.
authors.forename: Zsuzsanna
authors.initials: Z
authors.lastname: Arányi
authors.affiliation: Semmelweis Egyetem, Általános Orvostudományi Kar Neurológiai Klinika Budapest Balassa u. 6. 1083.
authors.forename: Dániel
authors.initials: D
authors.lastname: Bereczki
authors.affiliation: Semmelweis Egyetem, Általános Orvostudományi Kar Neurológiai Klinika Budapest Balassa u. 6. 1083.
authors.forename: Ildikó
authors.initials: I
authors.lastname: Vastagh
mesh_terms: D000437:Alcoholism / Q000150:complications; D001259:Ataxia / Q000209:etiology; D004038:Diet, Reducing / Q000009:adverse effects*; D005247:Feeding Behavior; D005260:Female; D006801:Humans; D015840:Oculomotor Nerve Diseases / Q000209:etiology; D013831:Thiamine / Q000008:administration & dosage*; D013832:Thiamine Deficiency / Q000150:complications* / Q000209:etiology; D014803:Vitamin B Complex / Q000008:administration & dosage*; D015431:Weight Loss; D014899:Wernicke Encephalopathy / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology* / Q000378:metabolism; D055815:Young Adult
chemical_list: D014803:Vitamin B Complex; D013831:Thiamine
keywords: Wernicke-encephalopathia; Wernicke’s encephalopathy; diet; diet pill; diéta; fogyasztótabletta; thiamine; tiamin