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Case Reports
. 1996 Feb 17;312(7028):434.
doi: 10.1136/bmj.312.7028.434.

Wernicke's encephalopathy after vertical banded gastroplasty for morbid obesity

H Seehra  1 , N MacDermott, R G Lascelles, T V Taylor
Affiliations
Case Reports

Wernicke's encephalopathy after vertical banded gastroplasty for morbid obesity

H Seehra et al. BMJ. .

Abstract

Thiamine deficiency is known to lead to certain neurological sequelae including Wernicke- Korsakoff encephalopathy. Signs attributable to this condition include ataxia, ophthalmoplegia, nystagmus, and mental confusion. Recognised predisposing conditions include alcoholism gastric carcinoma, pyloric obstruction, hyperemesis gravidarum, and prolonged intravenous feeding. We have recently encountered two cases of Wernicke's encephalopathy after vertical banded gastroplasty for morbid obesity . Other neurological sequelae are recognised after vertical banded gastroplasty, including Guillain-Barre syndrome, psychosis, and pseudoathetosis, but the causes are multifactorial.

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