Post-gastric sleeve gastrectomy mixed Wernicke's and Hashimoto's encephalopathies with brain atrophy: A case-report from Qatar

Abstract

We present a case of a 21-year-old male patient who presented with progressive dizziness, gait instability, and ataxia of 1-week duration. Three months prior to presentation, the patient underwent Laparoscopic Sleeve Gastrectomy (LSG). His workup showed a very low level of thiamine, high thyroid-stimulating hormone (TSH) level, and very low free thyroxine (T4). The patient was diagnosed with Wernicke Encephalopathy (WE) post LSG, exacerbated by Hashimoto Encephalopathy (HE), given the history of an underlying uncontrolled Hashimoto's thyroiditis (HT).

Keywords

• Hashimoto
• Wernicke
• Encephalopathy
• Bariatric surgery
• Sleeve gastrectomy
• Brain atrophy