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Journal of Case Reports
Wernicke’s Encephalopathy Presenting as Hyperemesis Gravidarum: Keys to a Successful Outcome
Nishtha Jaiswal, Reena Yadav, Astha Srivastava
Department of Obstetrics and Gynaecology, SSK Hospital and Lady Hardinge Medical College, New Delhi, India-110001.
Corresponding Author:
Dr Nishtha Jaiswal
Email: nishtha.amu@gmail.com
Received: 09-JUL-2019 Accepted: 01-SEP-2019 Published Online: 15-OCT-2019
DOI: http://dx.doi.org/10.17659/01.2019.0056
Background: Wernicke’s encephalopathy (WE) is a rare condition resulting from chronic malnutrition. The commonest cause of WE is chronic alcoholism. Hyperemesis in pregnancy is another overlooked condition that can result in chronic malnutrition and can precipitate WE. WE in pregnancy leads to poor outcomes both for the mother and the baby. It is a rare condition and needs a high degree of suspicion for diagnosis. Case Report: A 27 years old pregnant lady presented to our hospital in altered sensorium. After excluding the common causes of encephalopathy in pregnancy, WE was considered due to a history of hyperemesis. The MRI of brain supported the diagnosis. The woman was started on thiamine and had a gradual improvement in her general condition. She went on to successfully complete the pregnancy and delivered a healthy baby. Conclusion: Early recognition of this condition and prompt thiamine administration was the key to successful outcome.
Keywords : Brain, Hyperemesis Gravidarum, Pregnancy, Thiamine, Wernicke’s Encephalopathy.
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