Korean Journal of Sport Science

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J Korean Neurol Assoc. 2008;26(1):59-62.
Delayed-onset Wernicke Encephalopathy in a Patient with Gastrectomy
Byung-Su Kim
Departments of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
위절제술 받은 환자의 지연성 베르니케 뇌병증
김병수, 김치헌 황우섭 정진상 서대원
성균관대학교 의과대학 삼성서울병원 신경과학교실
Abstract
A 62-year-old man was transferred to our emergency room because of acute encephalopathy. He was a nondrinker with history of a gastrectomy nineteen years ago. Two weeks before his visit, he had experienced transient poor oral intake due to gastroesophageal reflux (GER). His brain MRI showed definite lesions compatible with Wernicke Encephalopathy (WE). A trivial event like GER can complicate the marginal equilibrium of thiamine and, after a long latent interval following a gastrectomy, may induce delayed-onset WE.KeyWords:Wernicke encephalopathy, Gastrectomy, Gastroesophageal reflux

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