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Encéphalopathie de Gayet-Wernicke après sleeve gastrectomie pour obésité morbide. / [Wernicke's encephalopathy following sleeve gastrectomy for morbid obesity].

Landais, A; Saint-Georges, G.
Rev Med Interne; 35(11): 760-3, 2014 Nov.
Artigo em Francês | MEDLINE | ID: mdl-24612868

INTRODUCTION:

Bariatric restrictive interventions, as sleeve gastrectomy or gastric banding can cause metabolic complications, especially when vomiting is present, such as thiamine deficiency that can lead to Wernicke's encephalopathy. CASE REPORT A 31-year-old man with a 47kg/m(2) body mass index presented with Wernicke's encephalopathy, with ophtalmoplegia, nystagmus, ataxia and confusion, followed by a Korsakoff syndrome, occurring two months after a sleeve gastrectomy. MRI showed hyperintense signals on T2 and FLAIR image in both thalamus, periaqueducal area and mamillary bodies.

CONCLUSION:

A close clinical and biological monitoring is required in the first year after surgery, especially if vomiting occurs. Early diagnostic and treatment are needed to avoid severe sequelae.
Selo DaSilva