Wernicke's Encephalopathy Complicating Hyperemesis Gravidarum – A Rare Case Presentation

Abstract

Case presentation : 22years oldprimigravida with 14 weeks period of gestation came with complaints of excessive vomiting for 2 weeks. On admission her vitals were stable with GCS 11/15. On examination patient had bilateral nystagmus with left sided facial twitching. Her serum biochemical values were found to be deranged. MRI finding suggestive of Wernickes encephalopathy. Patient treated with intravenous thiamine and other electrolyte corrections given. Gradually her ocular signs and electrolyte derangement improved. Discussion: Wernickes encephalopathy is a neurological disorder, due to thiamine deficiency. It is commonly due to heavy alcohol consumption.Conclusion: This case is reported here due to its rarity in pregnancy associated hyperemesis gravidarum.