Wernicke's encephalopathy presenting with upbeating nystagmus

The case of a 49-year-old woman with Wernicke's encephalopathy is described, in which primary position upbeating nystagmus was the chief ocular sign. Although there was no history of excessive alcohol consumption, Wernicke's encephalopathy was diagnosed on a background of anorexia nervosa....

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Bibliographic Details
Published in:Journal of clinical neuroscience 2002-07, Vol.9 (4), p.476-478
Main Authors: Sharma, Shanel, Sumich, Peter M., Francis, Ian C., Kiernan, Matthew C., Spira, Paul J.
Format: Article
Language:English
Subjects:
Anorexia Nervosa - complications
anorexia nervosa, thiamine, upbeat nystagmus, Wernicke's encephalopathy
Biological and medical sciences
Diagnosis, Differential
Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes
Female
Humans
Medical sciences
Middle Aged
Nervous system (semeiology, syndromes)
Neurology
Nystagmus, Pathologic - diagnosis
Nystagmus, Pathologic - etiology
Wernicke Encephalopathy - complications
Wernicke Encephalopathy - diagnosis
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Summary:The case of a 49-year-old woman with Wernicke's encephalopathy is described, in which primary position upbeating nystagmus was the chief ocular sign. Although there was no history of excessive alcohol consumption, Wernicke's encephalopathy was diagnosed on a background of anorexia nervosa. The diagnosis was supported by the patient's symptomatic and clinical recovery following thiamine therapy.
ISSN:0967-5868
1532-2653
DOI:10.1054/jocn.2002.1121