与孕吐（HG）相关的 Wernicke 脑病（WE）伴有精神疾病：两个病例的描述

IF 1.9 Q3 PSYCHIATRY

Indian Journal of Psychological Medicine Pub Date : 2024-08-03 DOI:10.1177/02537176241260845

Sandeep Grover, Sanjana Kathiravan, Akshyee Kale, Devakshi Dua, Pooja Sikka, Usha Dutta

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引用次数: 0

摘要

背景：妊娠剧吐（HG）是指妊娠期难治性呕吐，很少伴有韦尼克脑病（WE）。如果不及时治疗，妊娠剧吐可导致死亡和永久性认知障碍。在本报告中，我们介绍了两例在合并严重抑郁症的情况下发生 HG 后的韦尼克脑病病例。病例简介：在第一例病例中，一名 29 岁的女性在怀孕的第二个月出现了 HG 和韦尼克脑病，随后又出现了伴有紧张性精神障碍的严重抑郁症。在第二个病例中，一名患有躁郁症的23岁女性在怀孕期间出现了两个月的HG，随后又出现了严重抑郁和因摔倒导致的下颌骨骨折。

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Wernicke’s Encephalopathy (WE) Associated with Hyperemesis Gravidarum (HG) Presenting with Psychiatric Morbidity: Description of Two Cases

Background:Hyperemesis gravidarum (HG) refers to intractable vomiting during pregnancy and is rarely associated with Wernicke’s encephalopathy (WE). HG-associated WE can lead to mortality and permanent cognitive impairment if left untreated. In this report, we present two cases of WE following HG occurring in the context of comorbid severe depression.Case Description:In the first case, a 29-year-old female developed HG and WE during the second month of pregnancy, followed by an episode of severe depression with catatonia. In the second case, a 23-year-old female with bipolar disorder presented with HG for two months during pregnancy, followed by an episode of severe depression and a fractured mandible due to a fall.Conclusion:Thiamine should be considered in women experiencing prolonged vomiting during pregnancy, and they should be closely monitored for features of WE.

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来源期刊

Indian Journal of Psychological Medicine PSYCHOLOGY-

CiteScore

4.80

自引率

7.10%

发文量

116

审稿时长

12 weeks

期刊介绍： The Indian Journal of Psychological Medicine (ISSN 0253-7176) was started in 1978 as the official publication of the Indian Psychiatric Society South Zonal Branch. The journal allows free access (Open Access) and is published Bimonthly. The Journal includes but is not limited to review articles, original research, opinions, and letters. The Editor and publisher accept no legal responsibility for any opinions, omissions or errors by the authors, nor do they approve of any product advertised within the journal.