胃旁路术后伪装成急性精神病的韦尼克脑病：一例报告

Wernicke's encephalopathy after gastric bypass that masqueraded as acute psychosis: a case report.

作者信息

Worden Robert W, Allen Henry M

机构信息

College of Osteopathic Medicine, Oklahoma State University, Tulsa, Oklahoma, USA.

出版信息

Curr Surg. 2006 Mar-Apr;63(2):114-6. doi: 10.1016/j.cursur.2005.06.004.

DOI:10.1016/j.cursur.2005.06.004

PMID:16520112

Abstract

Wernicke's encephalopathy was originally described more than a decade ago. It has been reported after many causes of malnutrition. This case presents a patient with thiamine deficiency after gastric bypass, although unusual in itself, further complicating the case was the initial diagnosis of acute psychosis that was scheduled for electroconvulsive therapy. After recognition and intervention, the patient was successfully treated with thiamine replacement and parenteral nutrition.

摘要

韦尼克脑病早在十多年前就有描述。在多种营养不良原因后均有报告。该病例为一名胃旁路术后硫胺素缺乏的患者，尽管本身不常见，但使情况更复杂的是最初诊断为急性精神病并计划进行电休克治疗。在识别和干预后，患者通过补充硫胺素和肠外营养成功治愈。