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KMID : 0359720080260010059
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Journal of the Korean Neurological Association
2008 Volume.26 No. 1 p.59 ~ p.62
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Delayed-onset Wernicke Encephalopathy in a Patient with Gastrectomy
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Kim Byung-Su
Kim Chi-Hun
Hwang Woo-Sub
Chung Chin-Sang
Seo Dae-Won
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Abstract
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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.
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KEYWORD
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Wernicke encephalopathy, Gastrectomy, Gastroesophageal reflux
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