Annals of Internal Medicine: Clinical Cases (May 2024)

Wernicke Encephalopathy After Sleeve Gastrectomy

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

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.