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Wernicke’s Encephalopathy Induced by Hyperemesis gravidarum, Associated with Bilateral Caudate Lesions on Computed Tomography and Magnetic Resonance Imaging

 

作者: Norio Ohkoshi,   Akiko Ishii,   Shin’ichi Shoji,  

 

期刊: European Neurology  （Karger Available online 1994）
卷期: Volume 34, issue 3  

页码: 177-180

 

ISSN:0014-3022

 

年代: 1994

 

DOI:10.1159/000117034

 

出版商: S. Karger AG

 

关键词: Wernicke’s encephalopathy;Hyperemesis gravidarum;Thiamine deficiency;Caudate lesions;Magnetic resonance imaging;Computed tomography

 

数据来源: Karger

 

摘要:

The case of an 18-year-old woman with Wernicke’s encephalopathy induced by hyperemesis gravidarum is reported. She had severe vomiting and received antiemetic therapy and intravenous administration of glucose and low-dose insulin solution without thiamine. She developed coma, nystagmus, ataxia and polyneuropathy. CT and MR imaging showed bilateral caudate lesions as well as symmetrical periventricular lesions of the thalamus and hypothalamus and periaqueductal gray matter. Caudate lesions are quite rare in Wernicke’s encephalopa

 

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