What is it about?
We present a case of Wernicke's encephalopathy in a 31 -year-old woman who, after 3 months from a mini-gastric bypass for severe obesity, presented a sudden and rapid decline in vision, leading to complete loss of vision, marked asthenia, and paresthesia in the four limbs; malabsorption syndromes are known chronic complications of bariatric surgeries and Wernicke's syndrome, in sporadic cases, is a potential complication related to them.
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Why is it important?
Early recognition of atypical symptoms, including vision loss, and timely administration of therapy improves the prognosis of this potentially reversible but time-dependent neurological emergency.
Perspectives
I think that this abstract could be helpful to other clinicians to recognize also atypical symptoms of a Wernicke syndrome such as vision loss and that a timely administration of i.v therapy is essential for the B1 deficit in bariatric patients.
Mariarita Lopes
Universita degli Studi di Catania
Read the Original
This page is a summary of: When It Rains It Pours...: Wernicke Encephalopathy with Sudden
Blindness after Bariatric Surgery in a Patient with Congenital Deafness, Endocrine Metabolic & Immune Disorders - Drug Targets, July 2024, Bentham Science Publishers,
DOI: 10.2174/0118715303318400240624104538.
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