Abstract | OBJECTIVE: METHODS: A 25 year old lady in her 20th week of her pregnancy consulted us. She had history of nausea and vomiting for 3 months with resultant weight loss. She now presented with sub-acute onset of visual loss in both her eyes, and gait disturbance with unsteadiness. Upon ophthalmologic examination she was found to have a visual acuity of 6/60 in both eyes; abduction restriction, nystagmus and retinal hemorrhages and macular oedema in both eyes. She also had truncal, stance and gait ataxia. RESULTS: She was treated with parenteral thiamine and her visual loss reversed and her ataxia improved dramatically. Magnetic resonance imaging (MRI) brain with diffusion weighted imaging showed findings consistent with Wernicke's Encephalopathy. CONCLUSION:
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Authors | S Chitra, K V S Lath |
Journal | The Journal of the Association of Physicians of India
(J Assoc Physicians India)
Vol. 60
Pg. 53-6
(May 2012)
ISSN: 0004-5772 [Print] India |
PMID | 23029727
(Publication Type: Case Reports, Journal Article)
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Topics |
- Adult
- Female
- Humans
- Hyperemesis Gravidarum
(complications)
- Pregnancy
- Pregnancy Complications
(diagnosis, therapy)
- Thiamine Deficiency
(complications, therapy)
- Vision Disorders
(complications, diagnosis)
- Wernicke Encephalopathy
(complications, diagnosis, therapy)
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