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Yıl:2020; Cilt: 57; Sayı: 2>> Özet
TAM METİN
Nöropsikiyatri Arşivi; 2020;57(2):165-168
Wernicke Ensefalopatisi: Üç Olgunun Benzer ve Farklı Yönleri
U Emre, Y Erdal, C Söylemez, Y Karagöz, AS Mahmutoğlu
İstanbul Eğitim ve Araştırma Hastanesi, İstanbul,
Wernicke ensefalopatisi (WE), tiamin eksikliği sonucu oluşan, klasik olarak bilinç değişikliği, ataksi ve oftalmoparezi ile karakterize bir nörolojik hastalıktır. Sıklıkla kronik alkol kullanımı ile ilişkilidir; ancak, tiamin eksikliği yapan, gastrik cerrahi, hiperemezis, parenteral beslenme, malnutrisyon gibi birçok durum da bu tabloya neden olabilir. WE, erken tanı konulması ve hızlıca intravenöz tiamin tedavisine başlanması gereken, hayatı tehdit eden bir durumdur. Hastalarda karakteristik muayene bulguları her zaman görülmeyebilir; bu açıdan görüntüleme yöntemleri büyük önem taşır. Bu yazıda, tipik ve atipik görüntüleme bulguları olan üç WE olgusunu, benzer ve farklı yönlerini vurgulayarak sunmayı amaçladık
Wernicke’s Encephalopathy: Similar and Different Aspects of the Three Cases
Wernicke ensefalopatisi (WE), tiamin eksikligi sonucu olusan, klasik olarak bilinç degisikligi, ataksi ve oftalmoparezi ile karakterize bir nörolojik hastaliktir. Siklikla kronik alkol kullanimi ile iliskilidir; ancak, tiamin eksikligi yapan, gastrik cerrahi, hiperemezis, parenteral beslenme, malnutrisyon gibi birçok durum da bu tabloya neden olabilir. WE, erken tani konulmasi ve hizlica intravenöz tiamin tedavisine baslanmasi gereken, hayati tehdit eden bir durumdur. Hastalarda karakteristik muayene bulgulari her zaman görülmeyebilir; bu açidan görüntüleme yöntemleri büyük önem tasir. Bu yazida, tipik ve atipik görüntüleme bulgulari olan üç WE olgusunu, benzer ve farkli yönlerini vurgulayarak sunmayi amaçladik.

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