Wernicke Encephalopathy in Pregnancy
Author Information
Author(s): Kreutzer Beth MD, Buehrer Blake PA, Pelikan Andrew MD, Rohde Phillip MD
Primary Institution: University of Missouri, Department of Emergency Medicine
Hypothesis
Can Wernicke encephalopathy occur in pregnant patients with severe hyperemesis gravidarum?
Conclusion
Wernicke encephalopathy can develop in pregnant patients due to thiamine deficiency from hyperemesis gravidarum, but it requires a high degree of clinical suspicion for diagnosis.
Supporting Evidence
- Wernicke encephalopathy is often missed in emergency settings due to vague symptoms.
- Thiamine deficiency can occur in malnourished patients, including pregnant women.
- Early diagnosis and treatment are crucial to prevent long-term complications.
Takeaway
A pregnant woman with severe nausea and vomiting can get a brain problem called Wernicke encephalopathy if she doesn't get enough vitamins. Doctors need to be careful to check for it.
Methodology
Case report of a 22-year-old pregnant woman diagnosed with Wernicke encephalopathy after presenting with neurological symptoms.
Potential Biases
None reported.
Limitations
Only one case is reported, limiting generalizability.
Participant Demographics
22-year-old female, 13 weeks pregnant.
Digital Object Identifier (DOI)
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