J Korean Neurol Assoc.
2008 Feb;26(1):59-62.
Delayed-onset Wernicke Encephalopathy in a Patient with Gastrectomy
- Affiliations
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- 1Departments of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. dwseo@smc.samsung.co.kr
Abstract
- A 62-year-old man was transferred to our emergency room because of acute encephalopathy. He was a nondrinker with history of a gastrectomy nineteen years ago. Two weeks before his visit, he had experienced transient poor oral intake due to gastroesophageal reflux (GER). His brain MRI showed definite lesions compatible with Wernicke Encephalopathy (WE). A trivial event like GER can complicate the marginal equilibrium of thiamine and, after a long latent interval following a gastrectomy, may induce delayed-onset WE.
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