Hyperemesis gravidarum complicated by Wernicke's encephalopathy.
Publication
, Journal Article
Spruill, SC; Kuller, JA
Published in: Obstet Gynecol
May 2002
BACKGROUND: Wernicke's encephalopathy is usually associated with alcohol abuse, but can also occur with hyperemesis gravidarum. The effect of delay in thiamine replacement on fetal outcomes is unknown. We present a case of this complication. CASE: A primipara with hyperemesis was admitted for mental status changes in her 14th week of pregnancy. Physical examination revealed a lethargic patient with ophthalmoplegia, ataxia, and hyporeflexia. Parenteral thiamine therapy was started. The patient improved rapidly although the ataxia persisted. A spontaneous abortion occurred 2 weeks later. CONCLUSION: Wernicke's encephalopathy can complicate hyperemesis gravidarum. Early thiamine replacement may decrease the chances of spontaneous abortion.
Duke Scholars
Published In
Obstet Gynecol
DOI
ISSN
0029-7844
Publication Date
May 2002
Volume
99
Issue
5 Pt 2
Start / End Page
875 / 877
Location
United States
Related Subject Headings
- Wernicke Encephalopathy
- Thiamine
- Pregnancy Trimester, First
- Pregnancy Complications
- Pregnancy
- Obstetrics & Reproductive Medicine
- Hyperemesis Gravidarum
- Humans
- Female
- Abortion, Spontaneous
Citation
APA
Chicago
ICMJE
MLA
NLM
Spruill, S. C., & Kuller, J. A. (2002). Hyperemesis gravidarum complicated by Wernicke's encephalopathy. Obstet Gynecol, 99(5 Pt 2), 875–877. https://doi.org/10.1016/s0029-7844(01)01603-9
Spruill, Steven C., and Jeffrey A. Kuller. “Hyperemesis gravidarum complicated by Wernicke's encephalopathy.” Obstet Gynecol 99, no. 5 Pt 2 (May 2002): 875–77. https://doi.org/10.1016/s0029-7844(01)01603-9.
Spruill SC, Kuller JA. Hyperemesis gravidarum complicated by Wernicke's encephalopathy. Obstet Gynecol. 2002 May;99(5 Pt 2):875–7.
Spruill, Steven C., and Jeffrey A. Kuller. “Hyperemesis gravidarum complicated by Wernicke's encephalopathy.” Obstet Gynecol, vol. 99, no. 5 Pt 2, May 2002, pp. 875–77. Pubmed, doi:10.1016/s0029-7844(01)01603-9.
Spruill SC, Kuller JA. Hyperemesis gravidarum complicated by Wernicke's encephalopathy. Obstet Gynecol. 2002 May;99(5 Pt 2):875–877.
Published In
Obstet Gynecol
DOI
ISSN
0029-7844
Publication Date
May 2002
Volume
99
Issue
5 Pt 2
Start / End Page
875 / 877
Location
United States
Related Subject Headings
- Wernicke Encephalopathy
- Thiamine
- Pregnancy Trimester, First
- Pregnancy Complications
- Pregnancy
- Obstetrics & Reproductive Medicine
- Hyperemesis Gravidarum
- Humans
- Female
- Abortion, Spontaneous