Journal article
Wernicke's encephalopathy mimicking multiple sclerosis in a young female patient post-bariatric gastric sleeve surgery
Journal of community hospital internal medicine perspectives, v 11(5), pp 658-661
03 Sep 2021
PMID: 34567458
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
We describe a case of Wernicke's encephalopathy secondary to thiamine (B1) deficiency in a patient status post-bariatric sleeve gastrectomy. The presenting symptoms of new-onset weakness, diplopia, and confusion in a young female patient raised suspicion for multiple sclerosis (MS), but given a history of bariatric surgery, thiamine levels were checked, revealing significant Vitamin B1 (thiamine) deficiency. This case highlights the importance of thorough history taking, as a misdiagnosis of MS in this case could have resulted in irreversible neurological deterioration and hematological and infectious consequences associated with the inappropriate administration of disease-modifying therapies. It is also important to note that severe vitamin deficiency occurred despite medication compliance.
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Details
- Title
- Wernicke's encephalopathy mimicking multiple sclerosis in a young female patient post-bariatric gastric sleeve surgery
- Creators
- Divya Lal - Easton HospitalMaureen C. Farrell - Drexel UniversityMahesh Krishnamurthy - Easton Hospital
- Publication Details
- Journal of community hospital internal medicine perspectives, v 11(5), pp 658-661
- Publisher
- Taylor & Francis
- Number of pages
- 4
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Medicine (Graduate)
- Web of Science ID
- WOS:000698305500017
- Other Identifier
- 991021932695804721
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- Web of Science research areas
- Clinical Neurology