A case of Gayet-Wernicke encephalopathy with misleading symptoms | ||||
| Ain-Shams Journal of Anesthesiology | ||||
| Volume 12, Issue 1, January 2020 PDF (527.41 K) | ||||
| DOI: 10.1186/s42077-020-00115-5 | ||||
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| Authors | ||||
Mohamed Hadbi   ; Dalila Benalakma; Nadia Fellah
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| Abstract | ||||
| Background The dramatic evolution of incoercible vomiting in pregnancy is at the origin of a rare and serious neurological complication known as EGW; its symptomatology is polymorphic posing a diagnostic problem. MRI is the test of choice for screening. Early vitamin supplementation is essential to improve the maternal-fetal prognosis. Case presentation A 35-year-old parturient, G5P1, without particular pathological history presented incoercible vomiting at 8 weeks, which led to dehydration, undernutrition, and impairment of general condition. Neurological signs: headaches, confused scored at 14 on the Glasgow scale, amnesia, a cerebellar syndrome, sensory-motor deficit. Ophthalmological examination revealed: edema in the eye fundus, a decrease in visual acuity, nystagmus, and ophthalmoplegia. The biological analysis showed moderate hepatic cytolysis. Conclusion All pregnant with severe hyperemesis gravidarum should be supplemented with thiamine prior to glucose administration to prevent and improve the prognosis of GWE. | ||||
| Keywords | ||||
| Gayet-Wernicke encephalopathy; Hyperemesis gravidarum; Thiamine; Magnetic resonance imagery | ||||
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