Wernicke’s encephalopathy after cardiac surgery

A 76-year-old woman who had been on hemodialysis for 3 years developed ischemic mitral valve insufficiency, tricuspid insufficiency, and chronic atrial fibrillation, and underwent cardiac surgery. On the 4th postoperative day, she experienced a sudden disturbance of consciousness, aphasia, and limb...

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Bibliographic Details
Published inAsian cardiovascular & thoracic annals Vol. 26; no. 4; pp. 302 - 304
Main Author Nishimura, Yoshiyuki
Format Journal Article
LanguageEnglish
Published London, England SAGE Publications 01.05.2018
Subjects
Cardiopulmonary bypass
Renal dialysis
Heart valve prosthesis implantation
Wernicke encephalopathy
Thiamine deficiency
Postoperative complications
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Summary:A 76-year-old woman who had been on hemodialysis for 3 years developed ischemic mitral valve insufficiency, tricuspid insufficiency, and chronic atrial fibrillation, and underwent cardiac surgery. On the 4th postoperative day, she experienced a sudden disturbance of consciousness, aphasia, and limb ataxia. Brain computed tomography and magnetic resonance imaging showed no abnormalities. Wernicke’s encephalopathy was suspected and the patient was given vitamin B1, whereupon her symptoms gradually improved. On the 42nd postoperative day, she was free of neurological symptoms and discharged.
Bibliography:ObjectType-Case Study-2
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ISSN:0218-4923
1816-5370
DOI:10.1177/0218492318772693