2024/12/09 by K.AYADI, F.KOLSI, N.CHARFI +1
#Gayet-Wernicke encephalopathy #Headache #Pregnant #Thiamine
paper · doi:10.71776/pist-jims-189263
Gayet-Wernicke encephalopathy is an uncommon neurologic disease that can cause severe morbidity and mortality, if untreated. A 37-year-old woman at 30 weeks of pregnancy was referred to our hospital for severe acute and unusual headache. Clinical examination found a conscious woman. A meningeal syndrome and a palsy of the right sixth cranial nerve were objected. The patient had an urgent cerebral computed tomography scan with radioprotection measures for the fetus. The CT scan was normal. Cerebral magnetic resonance imaging was performed the following day. It showed a symmetrical bilateral hypersignal of the mamillary bodies on Fluid-Attenuated Inversion Recovery sequences. Gayet-Wernicke encephalopathy was suspected. The patient had an urgent intravenous supplementation of Thiamine. The headache decreased gradually. An oral supplementation of thiamine was continued until the end of pregnancy. She gave birth to a healthy baby girl.