Neurological complications in hyperemesis gravidarum.
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| Title: | Neurological complications in hyperemesis gravidarum. |
|---|---|
| Authors: | Zara, Gabriella, Codemo, Valentina, Palmieri, Arianna, Schiff, Sami, Cagnin, AnnaChiara, Citton, Valentina, Manara, Renzo |
| Source: | Neurological Sciences. Feb2012, Vol. 33 Issue 1, p133-135. 3p. 1 Color Photograph. |
| Subjects: | Morning sickness, Neurological disorders, Vitamin B1, Electrolytes, Ophthalmic plastic surgery, Hypothalamus, Afferent pathways, Magnetic resonance imaging |
| Abstract: | Hyperemesis gravidarum can impair correct absorption of an adequate amount of thiamine and can cause electrolyte imbalance. This study investigated the neurological complications in a pregnant woman with hyperemesis gravidarum. A 29-year-old pregnant woman was admitted for hyperemesis gravidarum. Besides undernutrition, a neurological examination disclosed weakness with hyporeflexia, ophthalmoparesis, multidirectional nystagmus and optic disks swelling; the patient became rapidly comatose. Brain MRI showed symmetric signal hyperintensity and swelling of periaqueductal area, hypothalamus and mammillary bodies, medial and posterior portions of the thalamus and columns of fornix, consistent with Wernicke encephalopathy (WE). Neurophysiological studies revealed an axonal sensory-motor polyneuropathy, likely due to thiamine deficiency or critical illness polyneuropathy. Sodium and potassium supplementation and parenteral thiamine were administered with improvement of consciousness state in a few days. WE evolved in Korsakoff syndrome. A repeat MRI showed a marked improvement of WE-related alterations and a new hyperintense lesion in the pons, suggestive of central pontine myelinolysis. No sign or symptom due to involvement of the pons was present. [ABSTRACT FROM AUTHOR] |
| Copyright of Neurological Sciences is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 71345655 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Neurological complications in hyperemesis gravidarum. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Zara%2C+Gabriella%22">Zara, Gabriella</searchLink><br /><searchLink fieldCode="AR" term="%22Codemo%2C+Valentina%22">Codemo, Valentina</searchLink><br /><searchLink fieldCode="AR" term="%22Palmieri%2C+Arianna%22">Palmieri, Arianna</searchLink><br /><searchLink fieldCode="AR" term="%22Schiff%2C+Sami%22">Schiff, Sami</searchLink><br /><searchLink fieldCode="AR" term="%22Cagnin%2C+AnnaChiara%22">Cagnin, AnnaChiara</searchLink><br /><searchLink fieldCode="AR" term="%22Citton%2C+Valentina%22">Citton, Valentina</searchLink><br /><searchLink fieldCode="AR" term="%22Manara%2C+Renzo%22">Manara, Renzo</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Neurological+Sciences%22">Neurological Sciences</searchLink>. Feb2012, Vol. 33 Issue 1, p133-135. 3p. 1 Color Photograph. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Morning+sickness%22">Morning sickness</searchLink><br /><searchLink fieldCode="DE" term="%22Neurological+disorders%22">Neurological disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Vitamin+B1%22">Vitamin B1</searchLink><br /><searchLink fieldCode="DE" term="%22Electrolytes%22">Electrolytes</searchLink><br /><searchLink fieldCode="DE" term="%22Ophthalmic+plastic+surgery%22">Ophthalmic plastic surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Hypothalamus%22">Hypothalamus</searchLink><br /><searchLink fieldCode="DE" term="%22Afferent+pathways%22">Afferent pathways</searchLink><br /><searchLink fieldCode="DE" term="%22Magnetic+resonance+imaging%22">Magnetic resonance imaging</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Hyperemesis gravidarum can impair correct absorption of an adequate amount of thiamine and can cause electrolyte imbalance. This study investigated the neurological complications in a pregnant woman with hyperemesis gravidarum. A 29-year-old pregnant woman was admitted for hyperemesis gravidarum. Besides undernutrition, a neurological examination disclosed weakness with hyporeflexia, ophthalmoparesis, multidirectional nystagmus and optic disks swelling; the patient became rapidly comatose. Brain MRI showed symmetric signal hyperintensity and swelling of periaqueductal area, hypothalamus and mammillary bodies, medial and posterior portions of the thalamus and columns of fornix, consistent with Wernicke encephalopathy (WE). Neurophysiological studies revealed an axonal sensory-motor polyneuropathy, likely due to thiamine deficiency or critical illness polyneuropathy. Sodium and potassium supplementation and parenteral thiamine were administered with improvement of consciousness state in a few days. WE evolved in Korsakoff syndrome. A repeat MRI showed a marked improvement of WE-related alterations and a new hyperintense lesion in the pons, suggestive of central pontine myelinolysis. No sign or symptom due to involvement of the pons was present. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Neurological Sciences is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s10072-011-0660-y Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 3 StartPage: 133 Subjects: – SubjectFull: Morning sickness Type: general – SubjectFull: Neurological disorders Type: general – SubjectFull: Vitamin B1 Type: general – SubjectFull: Electrolytes Type: general – SubjectFull: Ophthalmic plastic surgery Type: general – SubjectFull: Hypothalamus Type: general – SubjectFull: Afferent pathways Type: general – SubjectFull: Magnetic resonance imaging Type: general Titles: – TitleFull: Neurological complications in hyperemesis gravidarum. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Zara, Gabriella – PersonEntity: Name: NameFull: Codemo, Valentina – PersonEntity: Name: NameFull: Palmieri, Arianna – PersonEntity: Name: NameFull: Schiff, Sami – PersonEntity: Name: NameFull: Cagnin, AnnaChiara – PersonEntity: Name: NameFull: Citton, Valentina – PersonEntity: Name: NameFull: Manara, Renzo IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 02 Text: Feb2012 Type: published Y: 2012 Identifiers: – Type: issn-print Value: 15901874 Numbering: – Type: volume Value: 33 – Type: issue Value: 1 Titles: – TitleFull: Neurological Sciences Type: main |
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