Wernicke Encephalopathy after Gastrointestinal Surgery
Abstract
We herein describe a child operated for acute abdomen who developed Wernicke's encephalopathy (WE) secondary to prolonged total parenteral nutrition (TPN) that lacked vitamin B1 supplementation. The author concluded that surgeons, child neurologists, pediatricians and radiologists need to be aware of the predisposing factors and symptoms of WE. Clinicians need to keep in mind that ophthalmoplegia, ataxia or altered mental status could be findings of WE.
Keywords
Wernicke's encephalopathy, encephalopathy, ataxia, ophthalmoplegia, total parenteral nutrition
Kaynakça
- Victor, M, Adams, RA, Collins, GH. The Wernicke- Korsakoff syndrome and related disorders due to alcoholism and malnutrition. FA Davis, Philadelphia. 1989.
- 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.
- 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.
- Kömür M, Gündoğdu G, Avlan D, Okuyaz Ç. Uzun
- Süreli Total Parenteral Beslenme Sonrası Wernicke Ensefalopatili Bir Vaka Sunumu. Çocuk Dergisi. 2011;11:26-28.
- Harper CG, Giles M, Finlay-Jones R. Clinical signs in the Wernicke-Korsakoff complex: a retrospective analysis of 131 cases diagnosed at necropsy. J Neurol Neurosurg Psychiatry. 1986;49:341.
- Martin PR, Singleton CK, Hiller-Sturmhöfel S. The role of thiamine deficiency in alcoholic brain disease. Alcohol Res Health. 2003;27:134.
- O'Keeffe ST. Thiamine deficiency in elderly people. Age Ageing. 2000;29:99.
- Antunez E, Estruch R, Cardenal C, et al. Usefulness of CT and MR imaging in the diagnosis of acute Wernicke's encephalopathy. AJR Am J Roentgenol. 1998;171:1131. 9. Zhang XP, Lu
- YQ, Huang WD. Wernicke
