Benedikt Wiggli1, Sandra Kapitza2, Frank Ahlhelm3, Alexander A Tarnutzer4,5. 1. Infectiology, Department of Medicine, Cantonal Hospital of Baden, Baden, Switzerland. 2. Neurology, Department of Medicine, Cantonal Hospital of Baden, Baden, Switzerland. 3. Institute of Neuroradiology, Department of Radiology, Cantonal Hospital of Baden, Baden, Switzerland. 4. Neurology, Department of Medicine, Cantonal Hospital of Baden, Baden, Switzerland. alexander.tarnutzer@ksb.ch. 5. Faculty of Medicine, University of Zurich, Zurich, Switzerland. alexander.tarnutzer@ksb.ch.
Abstract
CASE DESCRIPTION: A 73-year-old male presented with new onset dizziness and a 22-kg weight loss due to antibiotic-induced nausea/vomiting. Due to gaze-evoked nystagmus (GEN), thiamine deficiency was suspected. Within 12 h after replacement, his GEN decreased. CONCLUSION: In patients with nutritional deprivation, new onset GEN should prompt further diagnostics and immediate thiamine supplementation to avoid disease progression.
CASE DESCRIPTION: A 73-year-old male presented with new onset dizziness and a 22-kg weight loss due to antibiotic-induced nausea/vomiting. Due to gaze-evoked nystagmus (GEN), thiamine deficiency was suspected. Within 12 h after replacement, his GEN decreased. CONCLUSION: In patients with nutritional deprivation, new onset GEN should prompt further diagnostics and immediate thiamine supplementation to avoid disease progression.
Authors: Alexander A Tarnutzer; Aaron L Berkowitz; Karen A Robinson; Yu-Hsiang Hsieh; David E Newman-Toker Journal: CMAJ Date: 2011-05-16 Impact factor: 8.262
Authors: Jorge C Kattah; Sara S Dhanani; John H Pula; Georgios Mantokoudis; Ali S Saber Tehrani; David E Newman Toker Journal: Neurol Clin Pract Date: 2013-12