Annals of Internal Medicine: Clinical Cases (May 2024)
Wernicke Encephalopathy After Sleeve Gastrectomy
Abstract
We present a case of Wernicke encephalopathy after sleeve gastrectomy. The patient exhibited spontaneous upbeat nystagmus and gaze-evoked nystagmus during an ophthalmologic examination, as shown in the accompanying video. High-dose thiamine therapy resulted in significant improvement in the patient's dizziness and nystagmus.