Alarfaj Motazz A, Almadhi Nada H, Al-Amry Mohammad, Almater Abdullah I, Al-Obailan Majed
Neuro-Ophthalmology Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
Department of Ophthalmology, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Neuroophthalmology. 2022 Mar 2;46(6):409-412. doi: 10.1080/01658107.2022.2047208. eCollection 2022.
Wernicke's encephalopathy (WE) is an acute neuropsychiatric syndrome resulting from thiamine deficiency (vitamin B). It is characterised classically by a triad of ophthalmoplegia, confusion, and ataxia. WE is classically associated with alcoholism but increasingly has been observed due to other causes, particularly in undernourished post-bariatric surgery patients. Herein, we describe a case of WE following laparoscopic sleeve gastrectomy in a young male patient who presented with binocular horizontal diplopia and was found to have preretinal peripapillary haemorrhages. This case raises the awareness that posterior segment findings can occur in WE but have been under-reported previously.
韦尼克脑病（WE）是一种由硫胺素缺乏（维生素B）引起的急性神经精神综合征。其典型特征为眼肌麻痹、意识模糊和共济失调三联征。WE传统上与酒精中毒相关，但由于其他原因，尤其是在营养不良的减肥手术后患者中，其发病率越来越高。在此，我们描述了一例年轻男性患者在腹腔镜袖状胃切除术后发生的WE病例，该患者出现双眼水平复视，眼底检查发现视网膜前视乳头周围出血。该病例提高了人们对WE可出现后段眼部表现但此前报告不足的认识。
