Wernicke’s encephalopathy following hyperemesis gravidarum

Blood tests showed hypokalaemia, evidence of renal failure, leucocytosis and abnormal liver function tests. [...]she was diagnosed with hyperemesis gravidarum causing electrolyte disturbances and thiamine deficiency leading to Wernicke’s encephalopathy. Pregnant women with severe vomiting and electr...

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Bibliographic Details
Published inPractical neurology Vol. 22; no. 3; pp. 237 - 238
Main Authors Llansó, Laura, Bartolomé-Solanas, Alvaro, Renú, Arturo
Format Journal Article
LanguageEnglish
Published England BMJ Publishing Group Ltd 01.06.2022
BMJ Publishing Group LTD
Subjects
Ataxia
Blood tests
consciousness
Consent
Electrolytes
Female
Humans
Hyperemesis Gravidarum - complications
Image of the moment
intensive care
neuroophthalmology
neuroradiology
obstetrics
Pregnancy
Steroids
Vitamin B
Vomiting
Wernicke Encephalopathy - diagnostic imaging
Wernicke Encephalopathy - etiology
neuroradiology
consciousness
intensive care
obstetrics
neuroophthalmology
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Summary:Blood tests showed hypokalaemia, evidence of renal failure, leucocytosis and abnormal liver function tests. [...]she was diagnosed with hyperemesis gravidarum causing electrolyte disturbances and thiamine deficiency leading to Wernicke’s encephalopathy. Pregnant women with severe vomiting and electrolyte imbalance may also develop osmotic demyelination syndrome, with similar extrapontine lesions.3 However, neuromyelitis optica spectrum disorder serum antibodies were negative and there had been no rapid shifts in serum osmolality.
ISSN:1474-7758
1474-7766
DOI:10.1136/practneurol-2021-003241