A Patient with Sub Acute Viral Hepatitis (HEV) and Nonalcoholic Wernicke’s Encephalopathy: A Case Report

Authors

  • Md Rafiqul islam Professor & Chairman, Department of Neurology, BSMMU, Dhaka, Bangladesh
  • Mohammad Saifullah Ahtesam Medical Officer, 250 Beded District Hospital, Kishoreganj, Dhaka, Bangladesh
  • - Md Wahiduzzaman Register, Medicine Department, Faridpur Medical College, Faridpur, Dhaka, Bangladesh
  • Md Habibur rahman Senior Resident, Department of Neurology, BSMMU, Dhaka, Bangladesh
  • Md Monirul islam Registrar, Medicine Department, Satkhira Medical College, Satkhira, Dhaka, Bangladesh
  • Debashis Kumar nath Senior Resident, Department of Neurology, BSMMU, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/bjn.v34i1.57536

Keywords:

Hyperemesis, Thiamine, Wernicke’s encephalopathy

Abstract

Wernicke’s encephalopathy (WE) is an acute neurological disorder resulting from thiamine deficiency. It is mainly related to alcohol abuse but it can be associated with other conditions such as gastrointestinal disorders like hyperemesis. A 38-year-old man with acute viral hepatitis presented with severe weakness, yellow discoloration of the body, hyperemesis in addition with disorientation, horizontal and vertical gaze-evoked nystagmus. MRI of brain showed typical findings of WE. Adequate treatment with parenteral thiamine was given. Neurological symptoms (Disorientation, Nystagmus and Ataxia) ameliorated during hospital stay and radiological abnormalities markedly improved in a follow up MRI after 2 months. This case suggests that WE may be associated with hyperemesis in non-alcoholic patients. Early thiamine treatment in symptomatic patients may improve prognosis. This extraordinary presentation of WE with hyperemesis, encouraged us to presentthis case history.

Bangladesh Journal of Neuroscience 2018; Vol. 34 (1): 52-57

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Published

2018-01-31

How to Cite

islam, M. R. ., Ahtesam, M. S. ., Md Wahiduzzaman, .-., rahman, M. H. ., islam, M. M. ., & nath, D. K. . (2018). A Patient with Sub Acute Viral Hepatitis (HEV) and Nonalcoholic Wernicke’s Encephalopathy: A Case Report. Bangladesh Journal of Neuroscience, 34(1), 52–57. https://doi.org/10.3329/bjn.v34i1.57536

Issue

Vol. 34 No. 1 (2018)

Section

Case Reports