Wernicke’s Encephalopathy, Wet Beriberi, and Polyneuropathy in a Patient with Folate and Thiamine Deficiency Related to Gastric Phytobezoar
المؤلفون المشاركون
Huertas-González, Nuria
Hernando-Requejo, Virgilio
Luciano-García, Zaida
Cervera-Rodilla, Juan Luis
المصدر
Case Reports in Neurological Medicine
العدد
المجلد 2015، العدد 2015 (31 ديسمبر/كانون الأول 2015)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2015-11-30
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Background.
Wernicke’s encephalopathy (WE) is an acute neurological disorder resulting from thiamine deficiency.
It is mainly related to alcohol abuse but it can be associated with other conditions such as gastrointestinal disorders.
This vitamin deficiency can also present with cardiovascular symptoms, called “wet beriberi.” Association with folate deficit worsens the clinical picture.
Subject.
A 70-year-old man with gastric phytobezoar presented with gait instability, dyspnoea, chest pain associated with right heart failure and pericarditis, and folate deficiency.
Furosemide was administered and cardiac symptoms improved but he soon developed vertiginous syndrome, nystagmus, diplopia, dysmetria, and sensitive and motor deficit in all four limbs with areflexia.
Results.
A cerebral magnetic resonance imaging (MRI) showed typical findings of WE.
He was immediately treated with thiamine.
Neurological symptoms improved in a few days and abnormal signals disappeared in a follow-up MRI two weeks later.
Conclusion.
Patients with malabsorption due to gastrointestinal disorders have an increased risk of thiamine deficiency, and folate deficiency can make this vitamin malabsorption worse.
An established deficiency mainly shows neurological symptoms, WE, or rarely cardiovascular symptoms, wet beriberi.
Early vitamin treatment in symptomatic patients improves prognosis.
We recommend administration of prophylactic multivitamins supplements in patients at risk as routine clinical practice.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Huertas-González, Nuria& Hernando-Requejo, Virgilio& Luciano-García, Zaida& Cervera-Rodilla, Juan Luis. 2015. Wernicke’s Encephalopathy, Wet Beriberi, and Polyneuropathy in a Patient with Folate and Thiamine Deficiency Related to Gastric Phytobezoar. Case Reports in Neurological Medicine،Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1059048
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Huertas-González, Nuria…[et al.]. Wernicke’s Encephalopathy, Wet Beriberi, and Polyneuropathy in a Patient with Folate and Thiamine Deficiency Related to Gastric Phytobezoar. Case Reports in Neurological Medicine No. 2015 (2015), pp.1-5.
https://search.emarefa.net/detail/BIM-1059048
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Huertas-González, Nuria& Hernando-Requejo, Virgilio& Luciano-García, Zaida& Cervera-Rodilla, Juan Luis. Wernicke’s Encephalopathy, Wet Beriberi, and Polyneuropathy in a Patient with Folate and Thiamine Deficiency Related to Gastric Phytobezoar. Case Reports in Neurological Medicine. 2015. Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1059048
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1059048
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر