Mustafa KÖMÜR, Gökhan GÜNDOĞDU, Dinçer AVLAN, Çetin OKUYAZ

Uzun Süreli Total Parenteral Beslenme Sonrası Wernicke Ensefalopatili Bir Vaka Sunumu

Wernicke ensefalopatisi, tiamin eksikliğine bağlı gelişen akut nörolojik bir durumdur. Klinik olarak ataksi, oftal- mopleji ve bilinç bozukluğu ile karakterizedir. Alkolizm ve ciddi malnutrisyon en sık nedenler arasında olmakla bir- likte uzun süreli parenteral beslenme sonucu da görülebi- lir. Bu makalede apandektomi operasyonu sonrası dönem- de tiamin desteği olmaksızın uzun süreli total parenteral beslenme alan, taşikardi, horizontal nistagmus, ataksi ve bilinç bulanıklığı gelişen ve tiamin tedavisine yanıt veren Wernicke ensefalopatili bir vaka sunulmuştur

Anahtar Kelimeler:

Dismotilite, total parenteral nutrisyon, Wernicke ensefalopatisi

Wernicke Encephalopathy After Long-Term Total Parenteral Nutrition: A Case Report

Wernicke’s encephalopathy is an acute neurologic conditi- on due to thiamine deficiency. It is characterized by ataxia, ophtalmoplegia and mental confusion. Wernicke’s encep- halopathy is usually associated with alcoholism and severe malnutrition, moreover it can also be seen with prolonged total parenteral nutrition. In this article, a pediatric case with a Wernicke encephalopathy who responded to thiamin medication was reported. She had tachycardia, horizontal nystagmus, ataxia and confusion due to long term parente- ral nutrition without thiamin support after abdominal sur- gery

Keywords:

Dysmotility, total parenteral nutrition, Wernicke’s encephalopathy,

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