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Original Article Wernicke's Encephalopathy evoked by Hyperemesis Gravidarum and Hyperthyroidism.
Seung Jin Lee, Kyung Jae Nam, Kyung Ho Lim
Endocrinology and Metabolism 1998;13(3):489-494

Published online: January 1, 2001
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Abstract

Wernickes encephalopathy is an illness characterized by mental disturbance, paralysis of eye movements and ataxia of gait. The specific factor for most, if not all, of these symptoms is a deficiency of thiamine. Wemicke's encephalopathy mostly occurs in developing countries when the patient is in a state such as nutritionally deprived state, anorexia nervosa, stomach cancer, long duration of parenteral nutrition. Wernickes encephalopathy was recognized as a complication of hyperemesis of pregnancy in 1914. Unfortunately, cases continue to occur. We present here a case of Wernickes encephalopathy in a 36-year-old pregnant woman. We discuss the clinical picture, histopathology, radiology, therapeutic management and prognosis with review of the literature.

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