International Journal of Nutrition, Pharmacology, Neurological Diseases

CASE REPORT
Year
: 2013  |  Volume : 3  |  Issue : 2  |  Page : 142--145

Wernicke俟Q製 encephalopathy and Hyperemesis gravidarum


Ummunissa Firdous1, Hussein Attia Sharara1, Fareed Abou Nahia1, Mariam Al Saqqa1, Samawi Musaed2 
1 Department of Obstetrics and Gynecology/ Northern Area Hospital, Hamad Medical Corporation; Doha, Qatar
2 Department of Internal Medicine/NAH, Hamad Medical Corporation; Doha, Qatar

Correspondence Address:
Ummunissa Firdous
Department of OBGY/NAH, Hamad Medical Corporation, Doha
Qatar

Recent research is concentrated around micronutrients and antioxidant俟Q製 role in degenerative neurological disorders; but still the vitamin deficiency in special situations can lead to life threatening medical emergencies. Hyperemesis gravidarum rarely leads to Wernicke俟Q製 encephalopathy. It is a medical metabolic neurological emergency. Wernicke俟Q製 encephalopathy is manifested by triad of confusion, opthalmoplegia and ataxia. Early detection and proper supplementation of thiamine is essential for treatment. Clinical manifestations of Wernicke俟Q製 encephalopathy are due to the involvement of specific area of the brain where thiamine content and turnover is maximized. We report a case of Wernicke俟Q製 encephalopathy in a pregnant woman known to have thyroid disorder, hyperemesis gravidarum; she was managed with intravenous dextrose infusion. The condition was diagnosed early by clinical manifestations and improved dramatically with thiamine supplementation. Wernicke俟Q製 encephalopathy occurring due to hyperemesis gravidarum and hyperthyroidism is rare. High index of suspicion is essential for early diagnosis and proper supplementation of thiamine.


How to cite this article:
Firdous U, Sharara HA, Nahia FA, Al Saqqa M, Musaed S. Wernicke's encephalopathy and Hyperemesis gravidarum.Int J Nutr Pharmacol Neurol Dis 2013;3:142-145


How to cite this URL:
Firdous U, Sharara HA, Nahia FA, Al Saqqa M, Musaed S. Wernicke's encephalopathy and Hyperemesis gravidarum. Int J Nutr Pharmacol Neurol Dis [serial online] 2013 [cited 2022 May 22 ];3:142-145
Available from: https://www.ijnpnd.com/article.asp?issn=2231-0738;year=2013;volume=3;issue=2;spage=142;epage=145;aulast=Firdous;type=0