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一名22岁女性患者妊娠剧吐继发韦尼克脑病:病例报告

Wernicke Encephalopathy Secondary to Hyperemesis Gravidarum in a 22-Year-Old Female Patient: A Case Report.

作者信息

Borgemenke Ryan, Borgemenke Samuel, Mall Sharal, Pagur Patrick

机构信息

Diagnostic Radiology, Kettering Health Network, Kettering, USA.

Diagnostic Radiology, Ohio University Heritage College of Osteopathic Medicine, Athens, USA.

出版信息

Cureus. 2023 Sep 13;15(9):e45172. doi: 10.7759/cureus.45172. eCollection 2023 Sep.

Abstract

Wernicke encephalopathy is an acute, reversible neurological disorder, which, if untreated, can develop into Korsakoff syndrome. Commonly associated with alcohol use disorder, Wernicke encephalopathy is a metabolic disorder caused by a deficiency of thiamine, vitamin B1. This case report presents a clinical manifestation of Wernicke encephalopathy, in which a 22-year-old pregnant female with hyperemesis gravidarum and significant weight loss developed acute metabolic encephalopathy. Diagnostic imaging played an important role both in diagnosing the patient acutely in the hospital and during a follow-up visit one year after treatment.

摘要

韦尼克脑病是一种急性、可逆的神经障碍,若不治疗,可发展为科萨科夫综合征。韦尼克脑病通常与酒精使用障碍相关,是一种由硫胺素(维生素B1)缺乏引起的代谢紊乱。本病例报告展示了韦尼克脑病的临床表现,一名患有妊娠剧吐和显著体重减轻的22岁孕妇发生了急性代谢性脑病。诊断性影像学检查在患者住院期间的急性诊断以及治疗后一年的随访中均发挥了重要作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b05/10575565/d874699d9b5d/cureus-0015-00000045172-i01.jpg

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