Wernicke Encephalopathy following Gastric Bypass: A Case Report

IF 0.6 Q4 CLINICAL NEUROLOGY

Case Reports in Neurology Pub Date : 2022-03-29 DOI:10.1159/000523707

Sarah Glisan, Nazim Khan

引用次数: 2

Abstract

Bariatric surgery is used as a treatment for morbid obesity and often results in rapid weight loss. This procedure has been associated with postoperative nutritional deficiencies. Neurological complications due to nutritional deficiencies include Wernicke encephalopathy, a disorder that affects the central and peripheral nervous system due to thiamine (vitamin B1) deficiency. Wernicke encephalopathy can lead to irreversible consequences if not treated early. Here, we present a case of a 40-year-old woman that developed Wernicke encephalopathy 2 months after gastric bypass surgery, with additional findings of flat affect and concurrent polyradiculopathy. Her diagnosis was delayed due to unique symptoms and an initial workup with negative imaging findings, making the identification of this disorder more complex.

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胃分流术后韦尼克脑病1例报告

减肥手术被用来治疗病态肥胖，通常会导致体重迅速减轻。该手术与术后营养缺乏有关。营养缺乏引起的神经并发症包括韦尼克脑病，这是一种由于硫胺素（维生素B1）缺乏而影响中枢和外周神经系统的疾病。如果不及早治疗，韦尼克脑病可能导致不可逆转的后果。在这里，我们介绍了一例40岁的女性，她在胃旁路手术后2个月出现韦尼克脑病，并伴有平坦影响和并发多神经根病。由于独特的症状和最初的阴性影像学检查结果，她的诊断被推迟，这使得这种疾病的识别更加复杂。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Case Reports in Neurology Medicine-Neurology (clinical)

CiteScore

1.50

自引率

0.00%

发文量

审稿时长

14 weeks

期刊介绍： This new peer-reviewed online-only journal publishes original case reports covering the entire spectrum of neurology. Clinicians and researchers are given a tool to disseminate their personal experience to a wider public as well as to review interesting cases encountered by colleagues all over the world. To complement the contributions supplementary material is welcomed. The reports are searchable according to the key words supplied by the authors; it will thus be possible to search across the entire growing collection of case reports with universally used terms, further facilitating the retrieval of specific information. Following the open access principle, the entire contents can be retrieved at no charge, guaranteeing easy access to this valuable source of anecdotal information at all times.