Wernicke Encephalopathy After Sleeve Gastrectomy

Lu Li; Jeong-Hun Shin; Kavita Sharma; Dong Wook Kim

doi:10.7326/aimcc.2023.0116

Annals of Internal Medicine: Clinical Cases (May 2024)

Wernicke Encephalopathy After Sleeve Gastrectomy

Lu Li,
Jeong-Hun Shin,
Kavita Sharma,
Dong Wook Kim

Affiliations

Lu Li: 1Section of Endocrinology, Diabetes and Weight Management, Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts
Jeong-Hun Shin: 1Section of Endocrinology, Diabetes and Weight Management, Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts
Kavita Sharma: 1Section of Endocrinology, Diabetes and Weight Management, Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts
Dong Wook Kim: 1Section of Endocrinology, Diabetes and Weight Management, Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts

DOI: https://doi.org/10.7326/aimcc.2023.0116
Journal volume & issue: Vol. 3, no. 5

Abstract

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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.

Published in Annals of Internal Medicine: Clinical Cases

ISSN: 2767-7664 (Online)
Publisher: American College of Physicians
Country of publisher: United States
LCC subjects: Medicine: Internal medicine
Website: https://www.acpjournals.org/journal/aimcc

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