Relapsing Wernicke's encephalopathy after gastrectomy.

• Arimura Koichi

  Department of Neurology, Neurological Institute, Graduate School of Medical Sciences, Kyushu University

• Murai Hiroyuki

  Department of Neurology, Neurological Institute, Graduate School of Medical Sciences, Kyushu University

• Kikuchi Hitoshi

  Department of Neurology, Neurological Institute, Graduate School of Medical Sciences, Kyushu University

• Shigeto Hiroshi

  Department of Neurology, Neurological Institute, Graduate School of Medical Sciences, Kyushu University

• Taniwaki Takayuki

  Department of Neurology, Neurological Institute, Graduate School of Medical Sciences, Kyushu University

• Furuya Hirokazu

  Department of Neurology, Neurological Institute, Graduate School of Medical Sciences, Kyushu University

• Kira Jun-ichi

  Department of Neurology, Neurological Institute, Graduate School of Medical Sciences, Kyushu University

Bibliographic Information

Other Title

• 胃切除後に再発を繰り返したＷｅｒｎｉｃｋｅ脳症の１例
• コンゲツ ノ ショウレイ イ セツジョ ゴ ニ サイハツ オ クリカエシタ Wernicke ノウショウ ノ 1レイ

Abstract

症例は45歳男性. 42歳時に噴門側部分胃切除を施行.術後,眼球運動障害と四肢脱力,体幹失調を2回繰り返した.頭部MRIで両側視床および中脳水道周囲に異常信号域を認め,血中ビタミンB1が著明に低下していた.入院当日よりビタミンB1を投与開始したところ2日目には眼球運動障害は消失, 2週間後には歩行可能となった.大酒家でなくても胃切除の既往を有する例では少量のアルコール摂取でも繰り返しWernicke脳症を起こす可能性が考えられた.

Journal

• Nihon Naika Gakkai Zasshi

  Nihon Naika Gakkai Zasshi 94 (8), 1606-1608, 2005

  The Japanese Society of Internal Medicine

Keywords

• Wernicke脳症
• 眼球運動障害
• 胃癌
• 胃切除

Details

• CRID: 1390282681417411712
• NII Article ID: 10016948355
• NII Book ID: AN00195836
• DOI: 10.2169/naika.94.1606
• ISSN: 18832083
• ISSN: 00215384
• NDL BIB ID: 7453090
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I7453090
• Web Site: http://www.jstage.jst.go.jp/article/naika1913/94/8/94_8_1606/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2006022590
• Text Lang: ja
• Data Source:
  • JaLC
  • NDL
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed