Wernicke's encephalopathy following hyperemesis gravidarum.
Wernicke's encephalopathy (WE) is a potentially reversible yet serious neurological manifestation caused by vitamin B1(thiamine) deficiency. It is commonly associated with heavy alcohol consumption. Other clinical associations are with hyperemesis gravidarum (HG), starvation, and prolonged intravenous feeding. Most patients present with the triad of ocular signs, ataxia, and confusion. It can be associated with life-threatening complication like central pontine myelinolysis (CPM). We report two cases of WE following HG, with two different outcomes.
Division of Anesthesia and Critical Care, Royal Hospital, Muscat, Oman.
Sandeep
S
Kantor
Division of Anesthesia and Critical Care, Royal Hospital, Muscat, Oman.
Sadanandan
S
Prakash
Division of Anesthesia and Critical Care, Royal Hospital, Muscat, Oman.
Juhi
J
Chandwani
Division of Anesthesia and Critical Care, Royal Hospital, Muscat, Oman.
Antara
A
Gokhale
Division of Anesthesia and Critical Care, Royal Hospital, Muscat, Oman.
Kalpana
K
Sarma
Division of Anesthesia and Critical Care, Royal Hospital, Muscat, Oman.
Maher J
MJ
Albahrani
Central pontine myelinolysis; Wernicke's encephalopathy; hyperemesis gravidarum