임신입덧으로 발생한 베르니케 뇌병증 1예

A Case of Wernicke's Encephalopathy Associated with Hyperemesis Gravidarum

  • 이승현 (영남대학교 의과대학 신경과학교실) ;
  • 이세진 (영남대학교 의과대학 신경과학교실) ;
  • 이윤경 (영남대학교 의과대학 신경과학교실) ;
  • 하정상 (영남대학교 의과대학 신경과학교실) ;
  • 이준 (영남대학교 의과대학 신경과학교실)
  • Lee, Seung-Hyun (Department of Neurology, College of Medicine, Yeungnam University) ;
  • Lee, Se-Jin (Department of Neurology, College of Medicine, Yeungnam University) ;
  • Lee, Yun-Kyung (Department of Neurology, College of Medicine, Yeungnam University) ;
  • Ha, Jung-Sang (Department of Neurology, College of Medicine, Yeungnam University) ;
  • Lee, Jun (Department of Neurology, College of Medicine, Yeungnam University)
  • 발행 : 2004.06.30

초록

저자들은 임신 초기 산모에서 심한 임신입덧에 의해 발생된 베르니케 뇌병증 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

Wernicke's encephalopathy is an acute-onset illness characterized by mental confusion, ataxia and ophthalmoplegia due to a thiamine deficiency. Immediate administration of thiamine prevents progression of the disease and reverses brain lesions. We have experienced a case of Wernicke's encephalopathy associated with hyperemesis gravidarum. As Wernicke's encephalopathy is mostly associated with chronic alcoholism, the possibility of Wernicke's encephalopathy may be ignored in young women. We emphasize the need for thiamine supplementation in the patient requiring intravenous alimentation such as hyperemesis gravidarum.

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