Cem BÖLÜK, Banu ÖZEN BARUT, Ülkü TÜRK BÖRÜ

Whipple Operasyonunun 2.Yılında Gelişen Wernike Ensefalopatisi Olgusu

Wernicke ensefalopatisi, tiamin eksikliğine bağlı, mortalitesi ve morbiditesi yüksek, nadir görülen nörolojik bir hastalıktır. Hastalığın klinik triadı konfüzyon, ataksi ve oftalmoparezidir. Klasik olarak alkol bağımlılarında görülmekle birlikte son yıllarda alkol bağımlılığı olmayan kişilerde de malignite, hiperemesis ve geçirilmiş cerrahi operasyonlara bağlı vakalar bildirilmiştir. Biz de, alkol bağımlılığı olmamasına karşın, pankreas malignitesi nedeniyle 2 yıl önce Whipple cerrahisi geçiren ve son zamanlarda alkol tüketmeye başlayan, Wernike Ensefalopatisi gelişmesine bu iki faktörün bir arada sebep olduğunu düşündüğümüz bir olgu sunmayı amaçladık.

Anahtar Kelimeler:

Wernicke Ensefalopatisi, Whipple, Genel Cerrahi, Alkolizm, Tiamin

A Case Of Wernicke Encephalopathy In The Second Year After Whipple Surgery

Wernicke encephalopathy is a rare neurological condition caused by tiamin deficiency and it has high morbidity and mortality rate. The disease is characterized by classical triad; confusion, ataxia and ophthalmoplegia. Although it is classically seen in alcoholic patients, some cases were reported due to malignity, hyperemesis and surgeries in patients who did not have any alcohol addiction. In this paper, we aimed to report a case who had no alcohol addiction despite he started to consume some in recent months, but who had history of Whipple surgery.

Keywords:

Wernicke Encephalopathy, Whipple, General Surgery Alcoholism, Thiamine, Ataxia, Ophthalmoplegia, Confusion,

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