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- Kompal Jain, Jasveer Singh, Anant Jain, and Tanvi Khera.
- From the Department of Anaesthesia and Intensive Care, Government Medical College and Hospital, Chandigarh, India.
- A A Pract. 2020 Jun 1; 14 (8): e01230.
AbstractGayet-Wernicke encephalopathy (WE) is an acute neurological disorder resulting from deficiency of thiamine, commonly related to chronic abuse of alcohol, but frequently missed or overlooked as a diagnosis when a nonalcoholic patient presents with atypical signs and symptoms of the disease. The diagnosis of the disease is clinical, and confirmation is done by magnetic resonance imaging. We aim to highlight a case of WE in a nonalcoholic postoperative surgical patient receiving total parental nutrition where high-dose intravenous administration of thiamine in time mitigated the symptoms of disease and prevented permanent neurological sequelae. We spotlight the significance of adequate thiamine for postoperative malnourished surgical patients.
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