Department of Emergency Medicine, Kurashiki Central Hospital, Kurashiki, Japan.
Department of General Medicine, Kurashiki Central Hospital, Kurashiki, Japan.
Eur J Clin Nutr. 2018 Jan;72(1):168-169. doi: 10.1038/ejcn.2017.141. Epub 2017 Sep 13.
A diagnosis of Wernicke's encephalopathy (WE) is difficult. Transient hypotension has been reported as a rare complication of WE. We herein report a case of prolonged hypotension and dysuautonomia associated with WE in a 69-year-old man with underlying alcohol abuse. Without apparent etiology of shock, this patient remained hypotensive for 9 days, requiring a vasopressor, despite daily administration of thiamine 600 mg. Fluctuation of blood pressure caused by postural change and bradycardia in the presence of shock indicated that this patient had dysautonomia. This case hereby proposes a possible association between hypotension, dysautonomia and Wernicke's encephalopathy.
威尼克脑病（WE）的诊断较为困难。WE 的罕见并发症之一为一过性低血压。本文报告了一例 69 岁酒精滥用患者，因 WE 并发低血压和自主神经功能障碍。在没有明显休克病因的情况下，该患者在每日接受 600mg 硫胺素治疗的情况下，仍持续低血压 9 天，需要使用升压药。低血压伴有体位变化时血压波动和休克时心动过缓表明患者存在自主神经功能障碍。该病例提出了低血压、自主神经功能障碍和威尼克脑病之间可能存在关联。
