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Reversible Wernicke encephalopathy caused by hyperemesis gravidarum in the second trimester of pregnancy: a case report.
Pan Afr Med J. 2021; 40:240.PA

Abstract

Wernicke encephalopathy is a potentially life-threatening neurologic syndrome caused by acute thiamine (vitamin B1) deficiency. It is usually associated with excessive alcohol consumption. Less frequently, this syndrome can be caused by persistent vomiting. This is a case report of a 33-year-old woman diagnosed with Wernicke encephalopathy (WE) during the second trimester of pregnancy. The presence of neurological and ophthalmological symptoms in the context of hyperemesis gravidarum led us to evoke the diagnosis of WE, and it was confirmed when specific lesions were found in the brain magnetic resonance imaging (MRI). Luckily for our patient, WE was diagnosed promptly and the signs were reversible after thiamine supplementation. In conclusion, any first line care taker or midwife must know the symptoms of Wernicke encephalopathy because prompt diagnosis and treatment can lead to recovery.

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Authors+Show Affiliations

Department of Gynecology and Obstetrics, University of Medicine of Sfax, Hedi Chaker Hospital, 3029, Sfax, Tunisia.

Department of Gynecology and Obstetrics, University of Medicine of Sfax, Hedi Chaker Hospital, 3029, Sfax, Tunisia.

Department of Gynecology and Obstetrics, University of Medicine of Sfax, Hedi Chaker Hospital, 3029, Sfax, Tunisia.

Department of Gynecology and Obstetrics, University of Medicine of Sfax, Hedi Chaker Hospital, 3029, Sfax, Tunisia.

Department of Radiology, University of Medicine of Sfax, Hedi Chaker Hospital, 3029, Sfax, Tunisia.

Department of Intensive Care, University of Medicine of Sfax, Habib Bourguiba Hospital, 3029, Sfax, Tunisia.

Department of Gynecology and Obstetrics, University of Medicine of Sfax, Hedi Chaker Hospital, 3029, Sfax, Tunisia.

MeSH

AdultFemaleHumansHyperemesis GravidarumMagnetic Resonance ImagingPregnancyPregnancy Trimester, SecondThiamineThiamine DeficiencyWernicke Encephalopathy

Pub Type(s)

Case Reports

Language

eng

PubMed ID

35178151

Citation

Jdidia, Nadia Ben, et al. "Reversible Wernicke Encephalopathy Caused By Hyperemesis Gravidarum in the Second Trimester of Pregnancy: a Case Report." The Pan African Medical Journal, vol. 40, 2021, p. 240.

Jdidia NB, Halima SB, Hakim H, et al. Reversible Wernicke encephalopathy caused by hyperemesis gravidarum in the second trimester of pregnancy: a case report. Pan Afr Med J. 2021;40:240.

Jdidia, N. B., Halima, S. B., Hakim, H., Kebaili, S., Koubaa, I., Chelly, H., & Chaabane, K. (2021). Reversible Wernicke encephalopathy caused by hyperemesis gravidarum in the second trimester of pregnancy: a case report. The Pan African Medical Journal, 40, 240. https://doi.org/10.11604/pamj.2021.40.240.30245

Jdidia NB, et al. Reversible Wernicke Encephalopathy Caused By Hyperemesis Gravidarum in the Second Trimester of Pregnancy: a Case Report. Pan Afr Med J. 2021;40:240. PubMed PMID: 35178151.

* Article titles in AMA citation format should be in sentence-case

TY - JOUR T1 - Reversible Wernicke encephalopathy caused by hyperemesis gravidarum in the second trimester of pregnancy: a case report. AU - Jdidia,Nadia Ben, AU - Halima,Sawssan Ben, AU - Hakim,Hana, AU - Kebaili,Sahbi, AU - Koubaa,Ines, AU - Chelly,Hedi, AU - Chaabane,Kais, Y1 - 2021/12/20/ PY - 2021/06/08/received PY - 2021/12/14/accepted PY - 2022/2/18/entrez PY - 2022/2/19/pubmed PY - 2022/2/22/medline KW - Wernicke encephalopathy KW - case report KW - gravidarum KW - hyperemesis SP - 240 EP - 240 JF - The Pan African medical journal JO - Pan Afr Med J VL - 40 N2 - Wernicke encephalopathy is a potentially life-threatening neurologic syndrome caused by acute thiamine (vitamin B1) deficiency. It is usually associated with excessive alcohol consumption. Less frequently, this syndrome can be caused by persistent vomiting. This is a case report of a 33-year-old woman diagnosed with Wernicke encephalopathy (WE) during the second trimester of pregnancy. The presence of neurological and ophthalmological symptoms in the context of hyperemesis gravidarum led us to evoke the diagnosis of WE, and it was confirmed when specific lesions were found in the brain magnetic resonance imaging (MRI). Luckily for our patient, WE was diagnosed promptly and the signs were reversible after thiamine supplementation. In conclusion, any first line care taker or midwife must know the symptoms of Wernicke encephalopathy because prompt diagnosis and treatment can lead to recovery. SN - 1937-8688 UR - https://www.unboundmedicine.com/medline/citation/35178151/Reversible_Wernicke_encephalopathy_caused_by_hyperemesis_gravidarum_in_the_second_trimester_of_pregnancy:_a_case_report_ DB - PRIME DP - Unbound Medicine ER -