Wernicke encephalopathy of non-alcoholic genesis
- Autores: Ostapchuk E.S.1,2, Chikviladze S.S.1
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Afiliações:
- Regional Clinical Hospital No. 1
- Tyumen State Medical University of the Ministry of Healthcare of Russia
- Edição: Volume 10, Nº 5 (2024)
- Páginas: 122-129
- Seção: CLINICAL CASE
- URL: https://journals.eco-vector.com/2412-4036/article/view/635079
- DOI: https://doi.org/10.18565/therapy.2024.5.122-128
- ID: 635079
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Resumo
Wernicke encephalopathy (WE) is a difficult to recognize, urgent, but potentially curable by high doses of thiamine pathology. In the absence of specific treatment or with a late starting of it, the disease is associated with the development of severe cognitive impairments (Wernicke – Korsakoff syndrome) or death. Although WE most often develops in patients with alcoholism, many cases of it have a non-alcoholic origin. The article describes a clinical case of WE in a 37-year-old patient who denies alcohol consumption, but has a history of dietary restrictions with severe weight loss. Differential diagnosis was carried out with demyelinating disease of the central nervous system, chronic inflammatory demyelinating polyneuropathy. Presented clinical case demonstrates the difficulties of WE diagnosing in patients without a clear alcohol history.
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Sobre autores
Ekaterina Ostapchuk
Regional Clinical Hospital No. 1; Tyumen State Medical University of the Ministry of Healthcare of Russia
Autor responsável pela correspondência
Email: ostapchukes2008@mail.ru
ORCID ID: 0000-0003-1176-4113
Código SPIN: 6877-6140
MD, PhD (Medicine), head of the Department of neurology, associate professor of the Department of neurology with a course in neurosurgery of the Institute of clinical medicine
Rússia, 625023, Tyumen; 625023, TyumenSona Chikviladze
Regional Clinical Hospital No. 1
Email: gvozdikaao@mail.ru
ORCID ID: 0009-0000-7328-0080
MD, neurologist
Rússia, 625023, Tyumen, 55 Kotovskogo St.Bibliografia
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