Wernicke's encephalopathy after vertical banded gastroplasty for morbid obesity
- PMID: 8601118
- PMCID: PMC2350056
- DOI: 10.1136/bmj.312.7028.434
Wernicke's encephalopathy after vertical banded gastroplasty for morbid obesity
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.
Comment in
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High potency parenteral B complex vitamin preparation is still available.BMJ. 1996 May 11;312(7040):1226. doi: 10.1136/bmj.312.7040.1226. BMJ. 1996. PMID: 8634578 Free PMC article. No abstract available.
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