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Neglected woman with hyperemesis gravidarum leading to Wernicke encephalopathy.
BMJ Case Rep. 2020 Dec 12; 13(12)BC

Abstract

A teenage primigravida at 13 weeks of gestation presented with hyperemesis gravidarum of 45 days and a history of giddiness and inability to walk due to involuntary movements of limbs and eyes since 2 days. She was treated with intravenous fluids, thiamine and antiemetics. MRI brain showed hyperintensities in bilateral dorsomedial thalami, periaqueductal grey matter in T2-weighted and FLAIR images. A diagnosis of Wernicke encephalopathy was made and she was managed in intensive care unit and received injection thiamine as per the guidelines and her weakness and ataxia improved over 3 weeks and she was discharged at 17 weeks of pregnancy in good state of health.

Authors+Show Affiliations

Obstetrics and Gynaecology, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, India dasaripapa@gmail.com.Obstetrics and Gynaecology, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, India.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

33310834

Citation

Dasari, Papa, and Smitha Priyadarshini. "Neglected Woman With Hyperemesis Gravidarum Leading to Wernicke Encephalopathy." BMJ Case Reports, vol. 13, no. 12, 2020.
Dasari P, Priyadarshini S. Neglected woman with hyperemesis gravidarum leading to Wernicke encephalopathy. BMJ Case Rep. 2020;13(12).
Dasari, P., & Priyadarshini, S. (2020). Neglected woman with hyperemesis gravidarum leading to Wernicke encephalopathy. BMJ Case Reports, 13(12). https://doi.org/10.1136/bcr-2020-238545
Dasari P, Priyadarshini S. Neglected Woman With Hyperemesis Gravidarum Leading to Wernicke Encephalopathy. BMJ Case Rep. 2020 Dec 12;13(12) PubMed PMID: 33310834.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Neglected woman with hyperemesis gravidarum leading to Wernicke encephalopathy. AU - Dasari,Papa, AU - Priyadarshini,Smitha, Y1 - 2020/12/12/ PY - 2020/12/14/entrez PY - 2020/12/15/pubmed PY - 2021/2/23/medline KW - gynaecology and fertility KW - materno-fetal medicine KW - neuroimaging KW - obstetrics JF - BMJ case reports JO - BMJ Case Rep VL - 13 IS - 12 N2 - A teenage primigravida at 13 weeks of gestation presented with hyperemesis gravidarum of 45 days and a history of giddiness and inability to walk due to involuntary movements of limbs and eyes since 2 days. She was treated with intravenous fluids, thiamine and antiemetics. MRI brain showed hyperintensities in bilateral dorsomedial thalami, periaqueductal grey matter in T2-weighted and FLAIR images. A diagnosis of Wernicke encephalopathy was made and she was managed in intensive care unit and received injection thiamine as per the guidelines and her weakness and ataxia improved over 3 weeks and she was discharged at 17 weeks of pregnancy in good state of health. SN - 1757-790X UR - https://www.unboundmedicine.com/medline/citation/33310834/Neglected_woman_with_hyperemesis_gravidarum_leading_to_Wernicke_encephalopathy_ DB - PRIME DP - Unbound Medicine ER -