Wernicke encephalopathy after sleeve gastrectomy
<h3>Rationale</h3><p dir="ltr">Wernicke encephalopathy (WE) is a recognized complication of bariatric surgery. WE is characterized by the classic triad of ataxia, ophthalmoplegia, and acute confusion due to thiamine deficiency. Bariatric surgery has complications in the f...
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2022
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| _version_ | 1864513548256804864 |
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| author | Abdulrahman F. Al-Mashdali (17148316) |
| author2 | Yaman I. Alkailani (21363572) Ahmed M. Elmudathir (21363575) Mohamed M. Elhams (21363578) |
| author2_role | author author author |
| author_facet | Abdulrahman F. Al-Mashdali (17148316) Yaman I. Alkailani (21363572) Ahmed M. Elmudathir (21363575) Mohamed M. Elhams (21363578) |
| author_role | author |
| dc.creator.none.fl_str_mv | Abdulrahman F. Al-Mashdali (17148316) Yaman I. Alkailani (21363572) Ahmed M. Elmudathir (21363575) Mohamed M. Elhams (21363578) |
| dc.date.none.fl_str_mv | 2022-07-01T00:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1097/md9.0000000000000245 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Wernicke_encephalopathy_after_sleeve_gastrectomy/29069582 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Medical biochemistry and metabolomics Neurosciences Nutrition and dietetics bariatric surgery Korsakoff syndrome sleeve gastrectomy thiamine deficiency vitamin B1 Wernicke encephalopathy |
| dc.title.none.fl_str_mv | Wernicke encephalopathy after sleeve gastrectomy |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h3>Rationale</h3><p dir="ltr">Wernicke encephalopathy (WE) is a recognized complication of bariatric surgery. WE is characterized by the classic triad of ataxia, ophthalmoplegia, and acute confusion due to thiamine deficiency. Bariatric surgery has complications in the form of vitamin deficiencies, and thiamine deficiency following bariatric surgery can present as WE. However, WE after sleeve gastrectomy is rarely observed in clinical practice.</p><h3>Patient concerns</h3><p dir="ltr">A 24-year-old man presented to our hospital with a 3-week history of vomiting, diplopia, and unsteady gait. He also noticed problems in his memory and loss of concentration. He had undergone sleeve gastrectomy 3 months prior to presentation.</p><h3>Diagnoses</h3><p dir="ltr">The patient was diagnosed with bilateral abducent nerve palsy, horizontal nystagmus, and ataxic gait. Based on the typical clinical manifestations and history of sleeve gastrectomy, the patient was diagnosed with WE. In addition, the magnetic resonance imaging of brain was consistent with WE.</p><h3>Intervention</h3><p dir="ltr">The patient received a 7-day course of intravenous thiamine and other vitamin supplements.</p><h3>Outcome</h3><p dir="ltr">Significant improvement in neurological manifestations after parenteral thiamine administration.</p><h3>Lessons</h3><p dir="ltr">Clinicians should be aware that WE is a complication of bariatric surgery. Prompt administration of parenteral thiamine is effective in treating such conditions.</p><h2>Other Information</h2><p dir="ltr">Published in: Medicine: Case Reports and Study Protocols<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1097/md9.0000000000000245" target="_blank">https://dx.doi.org/10.1097/md9.0000000000000245</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_19ec3a00d5e071ca290fb2b6c2fdaefd |
| identifier_str_mv | 10.1097/md9.0000000000000245 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/29069582 |
| publishDate | 2022 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Wernicke encephalopathy after sleeve gastrectomyAbdulrahman F. Al-Mashdali (17148316)Yaman I. Alkailani (21363572)Ahmed M. Elmudathir (21363575)Mohamed M. Elhams (21363578)Biomedical and clinical sciencesMedical biochemistry and metabolomicsNeurosciencesNutrition and dieteticsbariatric surgeryKorsakoff syndromesleeve gastrectomythiamine deficiencyvitamin B1Wernicke encephalopathy<h3>Rationale</h3><p dir="ltr">Wernicke encephalopathy (WE) is a recognized complication of bariatric surgery. WE is characterized by the classic triad of ataxia, ophthalmoplegia, and acute confusion due to thiamine deficiency. Bariatric surgery has complications in the form of vitamin deficiencies, and thiamine deficiency following bariatric surgery can present as WE. However, WE after sleeve gastrectomy is rarely observed in clinical practice.</p><h3>Patient concerns</h3><p dir="ltr">A 24-year-old man presented to our hospital with a 3-week history of vomiting, diplopia, and unsteady gait. He also noticed problems in his memory and loss of concentration. He had undergone sleeve gastrectomy 3 months prior to presentation.</p><h3>Diagnoses</h3><p dir="ltr">The patient was diagnosed with bilateral abducent nerve palsy, horizontal nystagmus, and ataxic gait. Based on the typical clinical manifestations and history of sleeve gastrectomy, the patient was diagnosed with WE. In addition, the magnetic resonance imaging of brain was consistent with WE.</p><h3>Intervention</h3><p dir="ltr">The patient received a 7-day course of intravenous thiamine and other vitamin supplements.</p><h3>Outcome</h3><p dir="ltr">Significant improvement in neurological manifestations after parenteral thiamine administration.</p><h3>Lessons</h3><p dir="ltr">Clinicians should be aware that WE is a complication of bariatric surgery. Prompt administration of parenteral thiamine is effective in treating such conditions.</p><h2>Other Information</h2><p dir="ltr">Published in: Medicine: Case Reports and Study Protocols<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1097/md9.0000000000000245" target="_blank">https://dx.doi.org/10.1097/md9.0000000000000245</a></p>2022-07-01T00:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1097/md9.0000000000000245https://figshare.com/articles/journal_contribution/Wernicke_encephalopathy_after_sleeve_gastrectomy/29069582CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/290695822022-07-01T00:00:00Z |
| spellingShingle | Wernicke encephalopathy after sleeve gastrectomy Abdulrahman F. Al-Mashdali (17148316) Biomedical and clinical sciences Medical biochemistry and metabolomics Neurosciences Nutrition and dietetics bariatric surgery Korsakoff syndrome sleeve gastrectomy thiamine deficiency vitamin B1 Wernicke encephalopathy |
| status_str | publishedVersion |
| title | Wernicke encephalopathy after sleeve gastrectomy |
| title_full | Wernicke encephalopathy after sleeve gastrectomy |
| title_fullStr | Wernicke encephalopathy after sleeve gastrectomy |
| title_full_unstemmed | Wernicke encephalopathy after sleeve gastrectomy |
| title_short | Wernicke encephalopathy after sleeve gastrectomy |
| title_sort | Wernicke encephalopathy after sleeve gastrectomy |
| topic | Biomedical and clinical sciences Medical biochemistry and metabolomics Neurosciences Nutrition and dietetics bariatric surgery Korsakoff syndrome sleeve gastrectomy thiamine deficiency vitamin B1 Wernicke encephalopathy |