Presentation of Wernicke encephalopathy in patient secondary to one anastomosis gastric bypass. Case report and literature review

被引：1

作者：

Zorrilla-Nunez, Luis F. ^{[1
]}

Tamez-Pedroza, Luis ^{[1
]}

Duran-Moreno, Patricio ^{[1
]}

Munoz-Maldonado, Gerardo E. ^{[1
]}

机构：

[1] Hosp Univ Monterrey Dr Jose Eleuterio Gonzalez, Serv Cirugia Gen, Monterrey, Nuevo Leon, Mexico

来源：

CIRUGIA Y CIRUJANOS | 2024年 / 92卷 / 01期

关键词：

Wernicke encephalopathy. Bariatric surgery. Vitamin B1 deficiency; BARIATRIC SURGERY; DEFICIENCY;

D O I：

10.24875/CIRU.21000706

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Wernicke encephalopathy, which is caused by a thiamine deficiency, occurs in 0.8-2% of the population. Only 16% present the typical triad of this disease: nystagmus, confusion and ataxia. We present the case of a postoperative patient with a one anastomosis gastric bypass with reoperation undergoing a Roux-en-Y gastric bypass that begins with confusion and nystagmus on her third postoperative day. The diagnosis of Wernicke encephalopathy is made by imaging, and vitamin B1 is administered with total improvement of nystagmus and altered state of consciousness (lethargy, bradypsychia, bradylalia).

引用

页码：124 / 127

页数：4

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