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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Published in | Practical neurology Vol. 22; no. 3; pp. 237 - 238 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
England
BMJ Publishing Group Ltd
01.06.2022
BMJ Publishing Group LTD |
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Abstract | 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. |
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AbstractList | 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. |
Author | Renú, Arturo Llansó, Laura Bartolomé-Solanas, Alvaro |
Author_xml | – sequence: 1 givenname: Laura orcidid: 0000-0003-4950-7657 surname: Llansó fullname: Llansó, Laura organization: Neurology, Hospital Clinic de Barcelona, Barcelona, Spain – sequence: 2 givenname: Alvaro orcidid: 0000-0002-2307-0007 surname: Bartolomé-Solanas fullname: Bartolomé-Solanas, Alvaro organization: Radiology, Hospital Clinic de Barcelona, Barcelona, Spain – sequence: 3 givenname: Arturo orcidid: 0000-0001-9169-6856 surname: Renú fullname: Renú, Arturo email: arenu@clinic.cat organization: Comprehensive Stroke Center, Department of Neuroscience, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/35121650$$D View this record in MEDLINE/PubMed |
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Cites_doi | 10.1007/s11604-020-00989-3 10.4103/0972-5229.128706 10.1016/j.ejogrb.2019.03.006 10.1016/S1474-4422(07)70104-7 10.1155/2016/8783932 |
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Copyright | Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ. 2022 Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ. |
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References | Berdai, Labib, Harandou (R5) 2016; 2016 Kantor, Prakash, Chandwani (R3) 2014; 18 Sechi, Serra (R1) 2007; 6 Ota, Capizzano, Moritani (R2) 2020; 38 Oudman, Wijnia, Oey (R4) 2019; 236 2022020410251986000_practneurol-2021-003241v1.1 Oudman (2022020410251986000_practneurol-2021-003241v1.4) 2019; 236 Ota (2022020410251986000_practneurol-2021-003241v1.2) 2020; 38 Berdai (2022020410251986000_practneurol-2021-003241v1.5) 2016; 2016 Kantor (2022020410251986000_practneurol-2021-003241v1.3) 2014; 18 |
References_xml | – volume: 38 start-page: 809 year: 2020 ident: R2 article-title: Comprehensive review of Wernicke encephalopathy: pathophysiology, clinical symptoms and imaging findings publication-title: Jpn J Radiol doi: 10.1007/s11604-020-00989-3 contributor: fullname: Moritani – volume: 18 start-page: 164 year: 2014 ident: R3 article-title: Wernicke's encephalopathy following hyperemesis gravidarum publication-title: Indian J Crit Care Med doi: 10.4103/0972-5229.128706 contributor: fullname: Chandwani – volume: 236 start-page: 84 year: 2019 ident: R4 article-title: Wernicke's encephalopathy in hyperemesis gravidarum: a systematic review publication-title: Eur J Obstet Gynecol Reprod Biol doi: 10.1016/j.ejogrb.2019.03.006 contributor: fullname: Oey – volume: 6 start-page: 442 year: 2007 ident: R1 article-title: Wernicke's encephalopathy: new clinical settings and recent advances in diagnosis and management publication-title: Lancet Neurol doi: 10.1016/S1474-4422(07)70104-7 contributor: fullname: Serra – volume: 2016 start-page: 1 year: 2016 ident: R5 article-title: Wernicke’s Encephalopathy Complicating Hyperemesis during Pregnancy publication-title: Case Rep Crit Care doi: 10.1155/2016/8783932 contributor: fullname: Harandou – ident: 2022020410251986000_practneurol-2021-003241v1.1 doi: 10.1016/S1474-4422(07)70104-7 – volume: 2016 start-page: 1 year: 2016 ident: 2022020410251986000_practneurol-2021-003241v1.5 article-title: Wernicke’s Encephalopathy Complicating Hyperemesis during Pregnancy publication-title: Case Rep Crit Care doi: 10.1155/2016/8783932 contributor: fullname: Berdai – volume: 18 start-page: 164 year: 2014 ident: 2022020410251986000_practneurol-2021-003241v1.3 article-title: Wernicke's encephalopathy following hyperemesis gravidarum publication-title: Indian J Crit Care Med doi: 10.4103/0972-5229.128706 contributor: fullname: Kantor – volume: 38 start-page: 809 year: 2020 ident: 2022020410251986000_practneurol-2021-003241v1.2 article-title: Comprehensive review of Wernicke encephalopathy: pathophysiology, clinical symptoms and imaging findings publication-title: Jpn J Radiol doi: 10.1007/s11604-020-00989-3 contributor: fullname: Ota – volume: 236 start-page: 84 year: 2019 ident: 2022020410251986000_practneurol-2021-003241v1.4 article-title: Wernicke's encephalopathy in hyperemesis gravidarum: a systematic review publication-title: Eur J Obstet Gynecol Reprod Biol doi: 10.1016/j.ejogrb.2019.03.006 contributor: fullname: Oudman |
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SubjectTerms | 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 |
Title | Wernicke’s encephalopathy following hyperemesis gravidarum |
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