Talib Vikash, Sultana Shazia, Hamad Ahmed, Yaqoob Uzair
Accident & Emergency, Jinnah Sindh Medical University (SMC), Karachi, PAK.
Obstetrics and Gynecology, Ziauddin University, Karachi, PAK.
Cureus. 2018 Jul 17;10(7):e2991. doi: 10.7759/cureus.2991.
Wernicke's encephalopathy (WE) is a life-threatening acute or sub-acute neurological emergency characterized by ataxia, confusion, nystagmus, and ophthalmoparesis caused by thiamine deficiency. It was first described in 1881 by Carl Wernicke with alcohol being the most common cause. We present a rare case of a 35-year-old pregnant female who presented to our emergency department with a history of vomiting and loose motions for two weeks. She later developed fever, confusion, slurred speech and blurring of vision. Magnetic resonance imaging (MRI) of the brain revealed typical lesions of WE. She was immediately treated with thiamine and her symptoms improved in a few days.
韦尼克脑病（WE）是一种危及生命的急性或亚急性神经急症，其特征为共济失调、意识模糊、眼球震颤及眼肌麻痹，由硫胺素缺乏引起。该病于1881年由卡尔·韦尼克首次描述，最常见的病因是酒精。我们报告一例罕见病例，一名35岁的孕妇因呕吐和腹泻两周就诊于我们的急诊科。她后来出现发热、意识模糊、言语不清和视力模糊。脑部磁共振成像（MRI）显示出典型的韦尼克脑病病变。她立即接受了硫胺素治疗，几天后症状有所改善。
