视乳头水肿延误昏迷患者韦尼克脑病的诊断
Papilloedema delaying diagnosis of Wernicke's encephalopathy in a comatose patient.
作者信息
Mumford C J
机构信息
Department of Neurology, Queen's Medical Centre, Nottingham, UK.
出版信息
Postgrad Med J. 1989 Jun;65(764):371-3. doi: 10.1136/pgmj.65.764.371.
Abstract
A case of acute Wernicke's encephalopathy due to hyperemesis gravidarum is described. Florid bilateral papilloedema was present, resulting in diagnostic uncertainty and delay in treatment. Attention is drawn to the rare occurrence of papilloedema in Wernicke's encephalopathy, and possible underlying mechanisms for this physical finding are considered.
摘要
本文描述了一例因妊娠剧吐导致的急性韦尼克脑病病例。患者出现明显的双侧视乳头水肿，这导致了诊断的不确定性及治疗延误。文中提请注意韦尼克脑病中视乳头水肿的罕见情况，并探讨了这一体格检查发现可能的潜在机制。
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