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Wernicke's encephalopathy following Roux en Y gastric bypass surgery.
Saudi Med J. 2015 Dec; 36(12):1493-5.SM

Abstract

Wernicke's encephalopathy (WE) is a serious neurological disorder characterized by a classical triad of acute mental confusion, ataxia, and opthalmoplegia due to thiamine deficiency. It was initially described in chronic alcoholics; however, any condition resulting in poor nutritional status places the patient at risk of WE. Bariatric surgery is now considered as an emergent cause of WE. The number of bariatric surgery is increasing for morbid obesity. We present a case of a 40-year-old male who presented with confusion and difficulty in maintaining the balance while walking 3 months after Roux en Y gastric bypass surgery. Diagnosis of WE was made on clinical ground and confirmed by magnetic resonance imaging of the brain, which showed bilateral hyperintense signals in paramedian thalami. Parenteral thiamine replacement was started, and patient showed complete recovery.

Authors+Show Affiliations

Department of Neurology, King Fahd Hospital of Dammam University, Dammam, Kingdom of Saudi Arabia. E-mail. azafar@ud.edu.sa.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

26620994

Citation

Zafar, Azra. "Wernicke's Encephalopathy Following Roux En Y Gastric Bypass Surgery." Saudi Medical Journal, vol. 36, no. 12, 2015, pp. 1493-5.
Zafar A. Wernicke's encephalopathy following Roux en Y gastric bypass surgery. Saudi Med J. 2015;36(12):1493-5.
Zafar, A. (2015). Wernicke's encephalopathy following Roux en Y gastric bypass surgery. Saudi Medical Journal, 36(12), 1493-5. https://doi.org/10.15537/smj.2015.12.12643
Zafar A. Wernicke's Encephalopathy Following Roux En Y Gastric Bypass Surgery. Saudi Med J. 2015;36(12):1493-5. PubMed PMID: 26620994.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Wernicke's encephalopathy following Roux en Y gastric bypass surgery. A1 - Zafar,Azra, PY - 2015/12/2/entrez PY - 2015/12/2/pubmed PY - 2016/11/3/medline SP - 1493 EP - 5 JF - Saudi medical journal JO - Saudi Med J VL - 36 IS - 12 N2 - Wernicke's encephalopathy (WE) is a serious neurological disorder characterized by a classical triad of acute mental confusion, ataxia, and opthalmoplegia due to thiamine deficiency. It was initially described in chronic alcoholics; however, any condition resulting in poor nutritional status places the patient at risk of WE. Bariatric surgery is now considered as an emergent cause of WE. The number of bariatric surgery is increasing for morbid obesity. We present a case of a 40-year-old male who presented with confusion and difficulty in maintaining the balance while walking 3 months after Roux en Y gastric bypass surgery. Diagnosis of WE was made on clinical ground and confirmed by magnetic resonance imaging of the brain, which showed bilateral hyperintense signals in paramedian thalami. Parenteral thiamine replacement was started, and patient showed complete recovery. SN - 0379-5284 UR - https://www.unboundmedicine.com/medline/citation/26620994/Wernicke's_encephalopathy_following_Roux_en_Y_gastric_bypass_surgery_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/26620994/ DB - PRIME DP - Unbound Medicine ER -