| Literature DB >> 16932521 |
Robin K Wilson1, Ralph W Kuncl, Andrea M Corse.
Abstract
BACKGROUND: A 17-year-old pregnant woman presented to hospital at 19 weeks' gestation with an 8-week history of hyperemesis gravidarum, 16.8 kg of weight loss, and new-onset weakness, dizziness and blurred vision. Examination of the patient showed confusion, papilledema, ophthalmoparesis, nystagmus, reduced hearing and truncal ataxia. INVESTIGATIONS: Physical examination, abdominal ultrasound, fetal ultrasound, brain MRI, magnetic resonance angiography, magnetic resonance venography and cerebrospinal-fluid analysis. DIAGNOSIS: Wernicke's encephalopathy, hyperemesis gravidarum and fetal loss. MANAGEMENT: Intravenous thiamine repletion and elimination of deficiency risk factors.Entities:
Mesh：
Substances：
Year: 2006 PMID： 16932521 DOI： 10.1038/ncpneuro0094
Source DB: PubMed Journal: Nat Clin Pract Neurol ISSN： 1745-834X