Semra SAYGI, Tülin SAVAŞ, Özlem ALKAN, Tülin SAVAŞ, Özlem ALKAN, İlknur EROL

Gastrointestinal Cerrahi Sonrası Gelişen Bir Wernicke Ensefalopatisi

Bu yazıda akut batın nedeni ile opere olan, gastrointestinal cerrahi sonrası dönemde tiamin desteği olmaksızın, total parenteral beslenme alan ve Wernike ensefalopatisi (WE), gelişen olgu sunulmuştur. Cerrahların, çocuk nörologlarının, pediatristlerin ve radyologların, WE için risk faktörlerini ve hastalığın belirti ve bulgularını iyi bilmeleri, klinisyenlerin, oftalmopleji, ataksi veya mental durum değişikliklerinin WE’ne ait bulgular olabileceğini akılda tutmaları gerekir.

Wernicke Encephalopathy after Gastrointestinal Surgery

We herein describe a child operated for acute abdomen who developed Wernicke's encephalopathy (WE) secondary to prolonged total parenteral nutrition (TPN) that lacked vitamin B1 supplementation. The author concluded that surgeons, child neurologists, pediatricians and radiologists need to be aware of the predisposing factors and symptoms of WE. Clinicians need to keep in mind that ophthalmoplegia, ataxia or altered mental status could be findings of WE.

Keywords:

Wernicke's encephalopathy, encephalopathy, ataxia, ophthalmoplegia, total parenteral nutrition,

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