Title of article :
Wernicke Encephalopathy After Billroth’s II Operation: A Case Report
Author/Authors :
Musavi Mirzaee, Mohammad Departments of Neurology - Medical Toxicology and Drug Abuse Research Center - Birjand University of Medical Sciences, Birjand, Iran , Akbari, Ayob Birjand University of Medical Sciences, Birjand, Iran , Ehsani, Hossein Birjand University of Medical Sciences, Birjand, Iran
Abstract :
Introduction: Thiamine deficiency can happen after gastrectomydue to Small intestinal bacterial overgrowth (SIBO) thatleads to
Wernicke encephalopathy; it is characterized bythe triad- ophthalmoplegia, ataxia and confusion.
Case Presentation: A 52 year old male patient presented with confusion, diplopia, amnesia and ataxia to theRazihospital at Birjandin
Iran. Cranial nerves and neurological examinations were normal. MRI, LP and abdominal sonography were also normal.
Due to normal para-clinic procedure and symptom progression being observed, the patient was treated with oral and IV vitamin B1.
After 3 days of treatment the patient’s condition improved and after one week he made a complete recoverywith no complaints of
confusion, diplopia, ataxiaoramnesia.
Conclusions: In patients with a history of surgery and mental status changes, ataxia and ophthalmoplegia should be considered
from the outset of treatment because certain irreversible neurological complaints could arise due to Korsakoff syndrome
Farsi abstract :
فاقد چكيده فارسي
Keywords :
Gastroenterostomy , Korsakoff Syndrome , Thiamine Deficiency , Thiamine Deficiency , Wernicke Encephalopathy
Journal title :
Modern Care Journal
