Wang Zongding, Zhang Lei, Deng Xingzhen, Peng Zili, Liang Shaoyong
Department of Hepatobiliary Surgery, Fengjie County People's Hospital of Chongqing, Chongqing, China.
Department of Hepatobiliary Surgery, Fengjie Hospital, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Front Neurol. 2023 Feb 23;14:1108434. doi: 10.3389/fneur.2023.1108434. eCollection 2023.
A 42-year-old female was admitted with upper abdominal pain. Imaging studies and laboratory tests were performed to consider acute lipogenic pancreatitis. After symptomatic treatment, her abdominal pain was significantly relieved. However, the patient was accompanied by upper gastrointestinal obstruction, which was gradually relieved after long-term fasting, gastrointestinal decompression, and fluid rehydration. The patient developed dizziness and ataxia, which worsened. Cranial magnetic resonance imaging (MRI) indicated patchy abnormal signal shadows in the bilateral thalami and dorsal brainstem and suggested metabolic encephalopathy. Wernicke's encephalopathy (WE) was the initial diagnosis of suspicion, adequate vitamin B1 was immediately replenished until the complete resolution of symptoms, and the patient made a rapid and dramatic recovery.
一名42岁女性因上腹部疼痛入院。进行了影像学检查和实验室检查以考虑急性脂源性胰腺炎。经过对症治疗，她的腹痛明显缓解。然而，该患者伴有上消化道梗阻，经过长期禁食、胃肠减压和补液后逐渐缓解。患者出现头晕和共济失调，且病情加重。头颅磁共振成像（MRI）显示双侧丘脑和脑桥背侧有斑片状异常信号影，提示代谢性脑病。初步怀疑诊断为韦尼克脑病（WE），立即补充足够的维生素B1直至症状完全缓解，患者迅速显著康复。
