Wernicke Encephalopathy Associated with Hyperemesis Gravidarum: A Case Report
Introduction: Wernicke encephalopathy is a clinical diagnosis that requires a high degree of clinical suspicion to recognize. We report a case of a pregnant patient developing Wernicke encephalopathy in the setting of severe hyperemesis gravidarum. Case Report: The patient was a 22-year-old female 1...
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| Format: | Article |
| Language: | English |
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eScholarship Publishing, University of California
2024-09-01
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| Series: | Clinical Practice and Cases in Emergency Medicine |
| Online Access: | https://escholarship.org/uc/item/6g80c4h4 |
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| author | Beth Kreutzer Blake Buehrer Andrew Pelikan Phillip Rohde |
| author_facet | Beth Kreutzer Blake Buehrer Andrew Pelikan Phillip Rohde |
| author_sort | Beth Kreutzer |
| collection | DOAJ |
| description | Introduction: Wernicke encephalopathy is a clinical diagnosis that requires a high degree of clinical suspicion to recognize. We report a case of a pregnant patient developing Wernicke encephalopathy in the setting of severe hyperemesis gravidarum. Case Report: The patient was a 22-year-old female 13 weeks pregnant presenting to the emergency department (ED) with neurological deficits after several weeks of hyperemesis gravidarum requiring hospitalization. Exam and workup ultimately revealed the diagnosis of Wernicke encephalopathy. Her symptoms improved after administration of thiamine. Conclusion: Wernicke encephalopathy is a consequence of thiamine deficiency, commonly seen in patients with alcohol use disorder but also with other causes of nutritional deficiency, such as hyperemesis gravidarum. Wernicke encephalopathy is a clinical diagnosis that requires a high degree of suspicion and is, therefore, often missed in the ED setting. Treatment is supplemental thiamine and management of the root cause for nutritional deficiency. |
| format | Article |
| id | doaj-art-db9c5459b9924d4499e30eeca75a0155 |
| institution | Kabale University |
| issn | 2474-252X |
| language | English |
| publishDate | 2024-09-01 |
| publisher | eScholarship Publishing, University of California |
| record_format | Article |
| series | Clinical Practice and Cases in Emergency Medicine |
| spelling | doaj-art-db9c5459b9924d4499e30eeca75a01552024-12-27T19:12:08ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2024-09-018435736010.5811/cpcem.20522cpcem-8-357Wernicke Encephalopathy Associated with Hyperemesis Gravidarum: A Case ReportBeth Kreutzer0Blake Buehrer1Andrew Pelikan2Phillip Rohde3University of Missouri, Department of Emergency Medicine, Columbia, MissouriUniversity of Missouri, Department of Emergency Medicine, Columbia, MissouriUniversity of Missouri, Department of Emergency Medicine, Columbia, MissouriUniversity of Missouri, Department of Emergency Medicine, Columbia, MissouriIntroduction: Wernicke encephalopathy is a clinical diagnosis that requires a high degree of clinical suspicion to recognize. We report a case of a pregnant patient developing Wernicke encephalopathy in the setting of severe hyperemesis gravidarum. Case Report: The patient was a 22-year-old female 13 weeks pregnant presenting to the emergency department (ED) with neurological deficits after several weeks of hyperemesis gravidarum requiring hospitalization. Exam and workup ultimately revealed the diagnosis of Wernicke encephalopathy. Her symptoms improved after administration of thiamine. Conclusion: Wernicke encephalopathy is a consequence of thiamine deficiency, commonly seen in patients with alcohol use disorder but also with other causes of nutritional deficiency, such as hyperemesis gravidarum. Wernicke encephalopathy is a clinical diagnosis that requires a high degree of suspicion and is, therefore, often missed in the ED setting. Treatment is supplemental thiamine and management of the root cause for nutritional deficiency.https://escholarship.org/uc/item/6g80c4h4 |
| spellingShingle | Beth Kreutzer Blake Buehrer Andrew Pelikan Phillip Rohde Wernicke Encephalopathy Associated with Hyperemesis Gravidarum: A Case Report Clinical Practice and Cases in Emergency Medicine |
| title | Wernicke Encephalopathy Associated with Hyperemesis Gravidarum: A Case Report |
| title_full | Wernicke Encephalopathy Associated with Hyperemesis Gravidarum: A Case Report |
| title_fullStr | Wernicke Encephalopathy Associated with Hyperemesis Gravidarum: A Case Report |
| title_full_unstemmed | Wernicke Encephalopathy Associated with Hyperemesis Gravidarum: A Case Report |
| title_short | Wernicke Encephalopathy Associated with Hyperemesis Gravidarum: A Case Report |
| title_sort | wernicke encephalopathy associated with hyperemesis gravidarum a case report |
| url | https://escholarship.org/uc/item/6g80c4h4 |
| work_keys_str_mv | AT bethkreutzer wernickeencephalopathyassociatedwithhyperemesisgravidarumacasereport AT blakebuehrer wernickeencephalopathyassociatedwithhyperemesisgravidarumacasereport AT andrewpelikan wernickeencephalopathyassociatedwithhyperemesisgravidarumacasereport AT philliprohde wernickeencephalopathyassociatedwithhyperemesisgravidarumacasereport |