Wernicke's encephalopathy: Is visual loss a red herring?

韦尼克的脑病 ： 视力丧失是红鲱鱼吗 ？

• 发表时间: Sep 2022
• 来源期刊: Clin Case Rep
• DOI: 10.1002/ccr3.6372
• PMID: 36188048
• 文章类型: Case Reports
• 作者列表: Kumar S,Bolar AR,Shetty R,Govindappa SKG,Pramod MNB,Agadi JB,Vishwanathan LG,Adiga CP

关键词: hyperemesis gravidarum; ophthalmoparesis; papilloedema; retinal hemorrhages; thiamine

Abstract

Predominantly visual loss, is very rare in Wernicke\'s encephalopathy. A 22 year old lady, in her 28th week of gestation, presented with a confused mental state, bilateral papilloedema with retinal hemorrhages, ophthalmoparesis, and cerebellar signs. Her MRI brain was suggestive of Wernicke\'s encephalopathy and she recovered with intravenous thiamine.

摘要

主要是视力丧失，在韦尼克的脑病中非常罕见。一位22岁的女士，在她怀孕的第28周,带着困惑的精神状态，双侧乳头水肿伴视网膜出血，眼瘫,和小脑体征。她的MRI脑部提示韦尼克脑病，静脉注射硫胺素后康复。