Uzun Süreli Total Parenteral Beslenme Sonrası Wernicke Ensefalopatili Bir Vaka Sunumu

Mustafa Kömür; Gökhan Gündoğdu; Dinçer Avlan; Çetin Okuyaz

doi:10.5222/j.child.2011.026

Uzun Süreli Total Parenteral Beslenme Sonrası Wernicke Ensefalopatili Bir Vaka Sunumu

Year 2011, , 26 - 28, 01.01.2011

Mustafa Kömür Gökhan Gündoğdu Dinçer Avlan Çetin Okuyaz

https://doi.org/10.5222/j.child.2011.026

Abstract

Wernicke ensefalopatisi, tiamin eksikliğine bağlı gelişen akut nörolojik bir durumdur. Klinik olarak ataksi, oftal- mopleji ve bilinç bozukluğu ile karakterizedir. Alkolizm ve ciddi malnutrisyon en sık nedenler arasında olmakla bir- likte uzun süreli parenteral beslenme sonucu da görülebi- lir. Bu makalede apandektomi operasyonu sonrası dönem- de tiamin desteği olmaksızın uzun süreli total parenteral beslenme alan, taşikardi, horizontal nistagmus, ataksi ve bilinç bulanıklığı gelişen ve tiamin tedavisine yanıt veren Wernicke ensefalopatili bir vaka sunulmuştur

Keywords

Dismotilite, total parenteral nutrisyon, Wernicke ensefalopatisi

References

1. Reuler JB, Girard DE, Cooney TG. Current concepts. Wernicke’s encephalopathy. N Engl J Med 1985;312:1035-9. http://dx.doi.org/10.1056/NEJM198504183121606 PMid:3885034
2. Michowitz Y, Copel L, Shiloach E, Litovchik I, Rapoport MJ. Non-alcoholic Wernicke’s encephalopathy - unusual clinical findings. Eur J Intern Med 2005;16:443-4. http://dx.doi.org/10.1016/j.ejim.2005.02.009 PMid:16198907
3. Ogershok PR, Rahman A, Nestor S, Brick J. Wernicke encephalopathy in nonalcoholic patients. Am J Med Sci 2002;323:107-11. http://dx.doi.org/10.1097/00000441-200202000-00010 PMid:11863078
4. Harper C. Thiamine (vitamin B1) deficiency and associated brain damage is still common throughout the world and prevention is simple and safe! Eur J Neurol 2006;13:1078-82.
5. Hakim AM, Pappius HM. Sequence of metabolic, clinical, and histological events in experimental thiamine deficiency. Ann Neurol 1983;13:365-75. http://dx.doi.org/10.1002/ana.410130403 PMid:6838172
6. Ramos CG, Pereira C. Wernicke Encephalopathy: the importance of the diagnosis. Acta Med Port 2006;19:442-5. PMid:17583600
7. Francini-Pesenti F, Brocadello F, Manara R, Santelli L, Laroni A, Caregaro L. Wernicke’s syndrome during parenteral feeding: not an unusual complication. Nutrition 2009;25:142-6. http://dx.doi.org/10.1016/j.nut.2008.08.003 PMid:18929463
8. Vasconcelos MM, Silva KP, Vidal G, Silva AF, Domingues RC, Berditchevsky CR. Early diagnosis of pediatric Wernicke’s encephalopathy. Pediatr Neurol 1999;20:289-94. http://dx.doi.org/10.1016/S0887-8994(98)00153-2
9. Meier S, Daeppen JB. Prevalence, prophylaxis and treatment of Wernicke encephalopathy. Thiamine, how much and how do we give it? Rev Med Suisse 2005;1:1740-4. PMid:16117048
10. Sechi G, Serra A. Wernicke’s encephalopathy: new clinical settings and recent advances in diagnosis and management. Lancet Neurol 2007;6:442-55. http://dx.doi.org/10.1016/S1474-4422(07)70104-7

Wernicke Encephalopathy After Long-Term Total Parenteral Nutrition: A Case Report

Year 2011, , 26 - 28, 01.01.2011

Mustafa Kömür Gökhan Gündoğdu Dinçer Avlan Çetin Okuyaz

https://doi.org/10.5222/j.child.2011.026

Abstract

Wernicke’s encephalopathy is an acute neurologic conditi- on due to thiamine deficiency. It is characterized by ataxia, ophtalmoplegia and mental confusion. Wernicke’s encep- halopathy is usually associated with alcoholism and severe malnutrition, moreover it can also be seen with prolonged total parenteral nutrition. In this article, a pediatric case with a Wernicke encephalopathy who responded to thiamin medication was reported. She had tachycardia, horizontal nystagmus, ataxia and confusion due to long term parente- ral nutrition without thiamin support after abdominal sur- gery

Keywords

Dysmotility, total parenteral nutrition, Wernicke’s encephalopathy

References

1. Reuler JB, Girard DE, Cooney TG. Current concepts. Wernicke’s encephalopathy. N Engl J Med 1985;312:1035-9. http://dx.doi.org/10.1056/NEJM198504183121606 PMid:3885034
2. Michowitz Y, Copel L, Shiloach E, Litovchik I, Rapoport MJ. Non-alcoholic Wernicke’s encephalopathy - unusual clinical findings. Eur J Intern Med 2005;16:443-4. http://dx.doi.org/10.1016/j.ejim.2005.02.009 PMid:16198907
3. Ogershok PR, Rahman A, Nestor S, Brick J. Wernicke encephalopathy in nonalcoholic patients. Am J Med Sci 2002;323:107-11. http://dx.doi.org/10.1097/00000441-200202000-00010 PMid:11863078
4. Harper C. Thiamine (vitamin B1) deficiency and associated brain damage is still common throughout the world and prevention is simple and safe! Eur J Neurol 2006;13:1078-82.
5. Hakim AM, Pappius HM. Sequence of metabolic, clinical, and histological events in experimental thiamine deficiency. Ann Neurol 1983;13:365-75. http://dx.doi.org/10.1002/ana.410130403 PMid:6838172
6. Ramos CG, Pereira C. Wernicke Encephalopathy: the importance of the diagnosis. Acta Med Port 2006;19:442-5. PMid:17583600
7. Francini-Pesenti F, Brocadello F, Manara R, Santelli L, Laroni A, Caregaro L. Wernicke’s syndrome during parenteral feeding: not an unusual complication. Nutrition 2009;25:142-6. http://dx.doi.org/10.1016/j.nut.2008.08.003 PMid:18929463
8. Vasconcelos MM, Silva KP, Vidal G, Silva AF, Domingues RC, Berditchevsky CR. Early diagnosis of pediatric Wernicke’s encephalopathy. Pediatr Neurol 1999;20:289-94. http://dx.doi.org/10.1016/S0887-8994(98)00153-2
9. Meier S, Daeppen JB. Prevalence, prophylaxis and treatment of Wernicke encephalopathy. Thiamine, how much and how do we give it? Rev Med Suisse 2005;1:1740-4. PMid:16117048
10. Sechi G, Serra A. Wernicke’s encephalopathy: new clinical settings and recent advances in diagnosis and management. Lancet Neurol 2007;6:442-55. http://dx.doi.org/10.1016/S1474-4422(07)70104-7

There are 10 citations in total.

Details

Primary Language	Turkish
Journal Section	Research Articles
Authors	Mustafa Kömür This is me Gökhan Gündoğdu This is me Dinçer Avlan This is me Çetin Okuyaz This is me
Publication Date	January 1, 2011
Published in Issue	Year 2011

Cite

APA	Kömür, M., Gündoğdu, G., Avlan, D., Okuyaz, Ç. (2011). Uzun Süreli Total Parenteral Beslenme Sonrası Wernicke Ensefalopatili Bir Vaka Sunumu. Journal of Child, 11(1), 26-28. https://doi.org/10.5222/j.child.2011.026
AMA	Kömür M, Gündoğdu G, Avlan D, Okuyaz Ç. Uzun Süreli Total Parenteral Beslenme Sonrası Wernicke Ensefalopatili Bir Vaka Sunumu. Journal of Child. January 2011;11(1):26-28. doi:10.5222/j.child.2011.026
Chicago	Kömür, Mustafa, Gökhan Gündoğdu, Dinçer Avlan, and Çetin Okuyaz. “Uzun Süreli Total Parenteral Beslenme Sonrası Wernicke Ensefalopatili Bir Vaka Sunumu”. Journal of Child 11, no. 1 (January 2011): 26-28. https://doi.org/10.5222/j.child.2011.026.
EndNote	Kömür M, Gündoğdu G, Avlan D, Okuyaz Ç (January 1, 2011) Uzun Süreli Total Parenteral Beslenme Sonrası Wernicke Ensefalopatili Bir Vaka Sunumu. Journal of Child 11 1 26–28.
IEEE	M. Kömür, G. Gündoğdu, D. Avlan, and Ç. Okuyaz, “Uzun Süreli Total Parenteral Beslenme Sonrası Wernicke Ensefalopatili Bir Vaka Sunumu”, Journal of Child, vol. 11, no. 1, pp. 26–28, 2011, doi: 10.5222/j.child.2011.026.
ISNAD	Kömür, Mustafa et al. “Uzun Süreli Total Parenteral Beslenme Sonrası Wernicke Ensefalopatili Bir Vaka Sunumu”. Journal of Child 11/1 (January 2011), 26-28. https://doi.org/10.5222/j.child.2011.026.
JAMA	Kömür M, Gündoğdu G, Avlan D, Okuyaz Ç. Uzun Süreli Total Parenteral Beslenme Sonrası Wernicke Ensefalopatili Bir Vaka Sunumu. Journal of Child. 2011;11:26–28.
MLA	Kömür, Mustafa et al. “Uzun Süreli Total Parenteral Beslenme Sonrası Wernicke Ensefalopatili Bir Vaka Sunumu”. Journal of Child, vol. 11, no. 1, 2011, pp. 26-28, doi:10.5222/j.child.2011.026.
Vancouver	Kömür M, Gündoğdu G, Avlan D, Okuyaz Ç. Uzun Süreli Total Parenteral Beslenme Sonrası Wernicke Ensefalopatili Bir Vaka Sunumu. Journal of Child. 2011;11(1):26-8.