RARE CLINICAL CASE OF WERNICKE ENCEPHALOPATHY IN PREGNANT: DIAGNOSIS AND MANAGEMENT
https://doi.org/10.34822/2304-9448-2020-2-92-97
Abstract
The study aims to present a clinical case of Wernicke encephalopathy secondary to incoercible vomiting in a
pregnant woman. Material and methods. The results of clinical, laboratory, and instrumental studies in the acute
period and the outcome of the Wernicke encephalopathy, the diagnostic and therapeutic difficulties of managing
a patient with this disease during pregnancy are described. Results. The symptoms of Wernicke encephalopathy
in the patient with incoercible vomiting were combined with manifestations of severe polyneuropathy, which was
initially determined as Guillain–Barré syndrome. Electrolyte disturbances correction and intravenous immunoglobulin
therapy contributed to an increase in limb mobility, while the effects of encephalopathy persisted. A thorough
analysis of the medical history, clinical data, and laboratory and instrumental studies allowed us to diagnose Wernicke
encephalopathy. Pathogenetic therapy led to improvement, but it required a long rehabilitation of the patient.
About the Authors
L. P. Smertina
Surgut State University, Surgut Regional Clinical Hospital
Russian Federation
Russian Federation
Candidate of Sciences (Medicine), Associate Professor, Department of Cardiology, Medical Institute, Neurologist;
Е-mail: Smertina@yandex.ru
A. E. Kasparova
Khanty-Mansiysk State Medical Academy, Khanty-Mansiysk,
Surgut State University, Surgut
Russian Federation
Russian Federation
Doctor of Sciences (Medicine), Professor of the Clinical Disciplines Department, Faculty of Additional Professional Education,
Professor of the Department of Pathophysiology and General Pathology, Medical Institute
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Review
For citations:
Smertina L.P., Kasparova A.E. RARE CLINICAL CASE OF WERNICKE ENCEPHALOPATHY IN PREGNANT: DIAGNOSIS AND MANAGEMENT. Vestnik SurGU. Meditsina. 2020;(2 (44)):92-97. (In Russ.) https://doi.org/10.34822/2304-9448-2020-2-92-97
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