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脑部磁共振成像:诊断孕妇盖耶-韦尼克脑病的一种安全且特异的工具:病例报告

Brain MRI: A safe and a specific tool in the diagnosis of Gayet Wernicke's encephalopathy in pregnant women: Case report.

作者信息

Ziani Hicham, Boussaaden Samia, Jallal Nora El Idrissi, Slaihi Zakariae, Lahbabi Sophia, Oudghiri Nezha El, Tachinante Rajae

机构信息

Department of intensive care Unit, Maternity Hospital Souissi, Rabat, Morocco.

出版信息

Radiol Case Rep. 2024 Jun 19;19(9):3801-3804. doi: 10.1016/j.radcr.2024.05.066. eCollection 2024 Sep.

DOI:10.1016/j.radcr.2024.05.066
PMID:39006095
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11245903/
Abstract

Gayet-Wernicke encephalopathy (GWE) is a neuropsychiatric syndrome due to Vitamin B1 (thiamine) deficiency, fatal in 30% of cases and preventable if treatment is initiated early, characterized by the classic triad of encephalopathy, ocular involvement: ophthalmoplegia and/or nystagmus and ataxia. GWE is mainly observed in alcoholics, but can also appear in any state of malnutrition. In obstetrics, hyperemesis gravidarum can be complicated by GWE due to low thiamine stores and increased thiamine requirements. We report a case of Gayet-Wernicke encephalopathy complicating incoercible vomiting in a pregnant woman.

摘要

盖耶-韦尼克脑病(GWE)是一种由于维生素B1(硫胺素)缺乏引起的神经精神综合征,30%的病例会致死,若早期开始治疗则可预防,其特征为脑病、眼部受累(眼肌麻痹和/或眼球震颤)和共济失调这一经典三联征。GWE主要见于酗酒者,但也可出现在任何营养不良状态下。在产科,妊娠剧吐可因硫胺素储备不足和硫胺素需求增加而并发GWE。我们报告一例孕妇出现无法控制的呕吐并并发盖耶-韦尼克脑病的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9d9/11245903/9b0fddced2a1/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9d9/11245903/edafd9d21af3/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9d9/11245903/d704cdaf8ede/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9d9/11245903/9b0fddced2a1/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9d9/11245903/edafd9d21af3/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9d9/11245903/d704cdaf8ede/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9d9/11245903/9b0fddced2a1/gr3.jpg

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