Wernicke encephalopathy hearing loss and palinacousis

Nguyen, Janette T T; Franconi, Catherine; Prentice, Andrew M.; Wycoco, Victor

doi:10.1111/imj.14249

Cited by 9 publications

(9 citation statements)

References 12 publications

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“…WE, formerly known as polioencephalitis hemorrhagica superioris, is a neurological syndrome caused by thiamine deficiency [ 1 - 4 , 6 ]. The classic triad of WE includes altered mentation, gait ataxia, and ophthalmoplegia [ 1 , 2 , 7 , 8 , 10 - 14 , 17 , 18 ].…”

Section: Discussionmentioning

confidence: 99%

“…Wernicke encephalopathy (WE) is a neurological complication of vitamin B1 (thiamine) deficiency [ 1 - 4 ]. In 1881, neuropathologist Dr. Carl Wernicke was the first to describe this syndrome after noticing ventricular punctate hemorrhages on autopsies of chronic alcoholics [ 1 , 2 , 4 - 7 ]. He associated these findings with a triad of gait ataxia, confusion, and ophthalmoplegia [ 1 - 3 , 6 , 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

“…A full triad has been reported in less than 30% of the cases, and its absence does not rule out WE [ 1 , 2 , 8 - 10 ]. Secondary symptoms include vestibular dysfunction, hypothermia, and peripheral neuropathy [ 1 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

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“Bariatric Beriberi”: A Rare Case of Wernicke Encephalopathy Two Weeks After Laparoscopic Sleeve Gastrectomy

Bathobakae¹,

Ozgur²,

Lombardo³

et al. 2023

Cureus

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Wernicke encephalopathy (WE) is an acute neurological syndrome caused by thiamine (vitamin B1) deficiency. This disorder manifests as a triad of gait ataxia, confusion, and vision abnormalities. The absence of a full triad does not rule out WE. Because of its vague presentation, WE is commonly missed in patients with no history of alcohol abuse. Other risk factors for WE include bariatric surgery, hemodialysis, hyperemesis gravidarum, and malabsorption syndromes. WE is a clinical diagnosis that can be confirmed with an MRI of the brain as hyperintensities in the mammillary bodies, periaqueductal area, thalami, and hippocampus. If suspected in a patient, WE must be immediately treated with intravenous thiamine to prevent evolution into Korsakoff syndrome, coma, or death. Currently, there is no consensus in the medical community as to how much thiamine must be given and for how long. Therefore, there is a need for more research in the diagnosis and management of WE after bariatric surgery. Herein, we report a rare case of a 23-year-old female with a history of morbid obesity who developed WE two weeks after a laparoscopic sleeve gastrectomy.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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“Bariatric Beriberi”: A Rare Case of Wernicke Encephalopathy Two Weeks After Laparoscopic Sleeve Gastrectomy

Bathobakae¹,

Ozgur²,

Lombardo³

et al. 2023

Cureus

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“…Our literature review yielded ten case reports of SNHL occurring with WE prior to thiamine repletion ( Table 1). The SNHL resolved within two weeks or less after thiamine replacement treatment in 4/10 cases [3,[6][7][8], improved but persisted within three months or less in 5/10 cases [9][10][11][12][13], and was not reported in one case [14]. Only 4/10 cases performed an audiogram at the time of presentation, all showing moderate SNHL [3,10,12,13], and a follow-up audiogram was performed after thiamine replacement in only one case.…”

Section: Discussionmentioning

confidence: 99%

Sensorineural Hearing Loss and Wernicke Encephalopathy: A Case Report and Literature Review

et al. 2021

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Sensorineural hearing loss (SNHL) is seldom associated with Wernicke encephalopathy (WE) or thiamine deficiency. While thiamine deficiency and repletion are often considered prior to dextrose infusions in patients with chronic alcohol abuse to prevent WE, they are often overlooked in non-alcoholic patients who are also at risk for malnutrition. In this paper we describe a case of a non-alcoholic 28-year-old female status post-sleeve gastrectomy who developed SNHL in the setting of thiamine deficiency and WE, with ongoing hearing impairment requiring hearing aids despite thiamine repletion.

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“…The patients and their findings are summarized in Table 1 . Of the previously reported cases, one was associated with hyperemesis gravidarum [ 8 ], one was associated with Crohn’s disease and colectomy [ 9 ], five were associated with bariatric surgery ( 7 , 10 , 11 , 12 and 13 ), one was attributed to a strictly limited diet following acute pancreatitis [ 14 ], one was associated with parenteral nutrition and chemotherapy for gastic carcinoma [ 15 ], and one was attributed to gastroparesis associated with diabetes mellitus [ 7 ], and Our patient represents the eleventh patient described in accessible literature. The current case stands out for a number of reasons.…”

Section: Discussionmentioning

confidence: 99%

I can’t hear you, you said I had what?: A case report and literature review

Morgan

Cler

Hunter

2020

Journal of Community Hospital Internal Medicine Perspectives

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We report the case of a 46-year old African American woman who presented to the emergency department with one week of progressive bilateral deafness associated with worsening gait abnormalities, visual changes, and confusion. She was diagnosed with Wernicke encephalopathy (WE) attributed to alcohol abuse; her symptoms, including hearing loss, improved with thiamine replacement. WE, a condition due to thiamine deficiency, commonly affects those with alcohol use disorder or gastric bypass history. Though traditionally associated with a triad of encephalopathy, ophthalmoplegia, and ataxia, it can be more rarely associated with auditory deficits or other neurologic findings. Though hearing loss has previously been reported as a rare symptom of WE, it has not been described in WE due to alcohol abuse. We performed a review of the literature to determine if WE associated with hearing loss had been previously reported.

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Wernicke encephalopathy hearing loss and palinacousis

Cited by 9 publications

References 12 publications

“Bariatric Beriberi”: A Rare Case of Wernicke Encephalopathy Two Weeks After Laparoscopic Sleeve Gastrectomy

“Bariatric Beriberi”: A Rare Case of Wernicke Encephalopathy Two Weeks After Laparoscopic Sleeve Gastrectomy

Sensorineural Hearing Loss and Wernicke Encephalopathy: A Case Report and Literature Review

I can’t hear you, you said I had what?: A case report and literature review

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