Wernicke's encephalopathy in hyperemesis gravidarum: A systematic review.

@article{Oudman2019WernickesEI,
  title={Wernicke's encephalopathy in hyperemesis gravidarum: A systematic review.},
  author={Erik Oudman and Jan W. Wijnia and Misha J Oey and Mirjam J van Dam and Rebecca C Painter and Albert Postma},
  journal={European journal of obstetrics, gynecology, and reproductive biology},
  year={2019},
  volume={236},
  pages={
          84-93
        }
}
  • E. Oudman, J. Wijnia, A. Postma
  • Published 1 May 2019
  • Medicine, Psychology
  • European journal of obstetrics, gynecology, and reproductive biology
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Wernicke's Encephalopathy Complicating Hyperemesis during Pregnancy
TLDR
Thiamine supplementation in pregnant women with prolonged vomiting should be initiated, especially before parenteral dextrose infusion, and early thiamine replacement will reduce maternal morbidity and fetal loss rate.
Wernicke's syndrome associated with hyperemesis gravidarum
TLDR
Wernicke’s encephalopathy must be suspected in women showing its characteristic clinical signs to avoid worse outcome, such maternofetal death or permanent neuromuscular sequelae, in women during the first trimester of pregnancy.
Wernicke's encephalopathy: A rare complication of hyperemesis gravidarum.
Wernicke's encephalopathy and Hyperemesis gravidarum
TLDR
A case of Wernicke's encephalopathy is reported in a pregnant woman known to have thyroid disorder, hyperemesis gravidarum; she was managed with intravenous dextrose infusion and improved dramatically with thiamine supplementation.
Wernicke’s encephalopathy secondary to gestational hyperthyroidism
TLDR
A 34-year-old G3P2 11-week 6-day-old pregnant female patient presented to the emergency department with a history of confusion, nausea and vomiting, diagnosed as having gestational hyperthyroidism and treated with hydration and antiemetics, no thionamides were given; her FT4 trended downwards and she was discharged.
A Critical Case of Wernicke's Encephalopathy Induced by Hyperemesis Gravidarum
TLDR
This case suggests that although the initial presentation may include atypical symptoms (e.g., shock or bleeding), Wernicke’s encephalopathy should be considered, and thiamine replacement should be performed in pregnant women with neurologic symptoms and poor oral intake.
A woman with thyrotoxicosis- and hyperemesis gravidarum-associated Wernicke's encephalopathy.
TLDR
The case of a woman with toxic nodular goiter complicating HG-associated Wernicke's encephalopathy, a 38-year-old Caucasian woman who had intrauterine fetal death at Week 16 of gestation, is presented.
Hyperemesis Gravidarum Complicated by Wernicke Encephalopathy: Background, Case Report, and Review of the Literature
TLDR
The importance of thiamine supplementation to women with prolonged vomiting in pregnancy, especially before intravenous or parenteral nutrition, is emphasized and the necessity to promptly replace vitamin B1 when neurologic symptoms and/or signs develop in a patient with hyperemesis gravidarum is underlined.
A Rare Case of Wernicke ' s Encephalopathy and Dry Beriberi Complicating Hyperemesis Gravidarum .
TLDR
Thiamine deficiency manifesting with features suggestive of an overlap between Wernicke’s encephalopathy and dry beriberi in patients with hyperemesis gravidarum is rare.
Wernicke's Encephalopathy: A Rare Complication of Hyperemesis Gravidarum.
TLDR
In view of recurrent vomiting in a pregnant patient, history of treatment with intra venous fluids and reduced alertness, horizontal nystagmus, ataxia, diagnosis of wernicke’s encephalopathy was made.
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