Wernicke-Korsakoff Syndrome following Small Bowel Obstruction

We report a case of a 64-year-old lady who developed clinical features of Wernicke-Korsakoff syndrome following a laparotomy for small bowel obstruction. Following the operation she developed paralytic ileus and required total parenteral nutrition for one month. A suspected history of average 40 uni...

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Main Authors: Shoumitro Deb, Richard Law-Min, David Fearnley
Format: Article
Language:English
Published: Wiley 2002-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.1155/2002/702526
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author Shoumitro Deb
Richard Law-Min
David Fearnley
author_facet Shoumitro Deb
Richard Law-Min
David Fearnley
author_sort Shoumitro Deb
collection DOAJ
description We report a case of a 64-year-old lady who developed clinical features of Wernicke-Korsakoff syndrome following a laparotomy for small bowel obstruction. Following the operation she developed paralytic ileus and required total parenteral nutrition for one month. A suspected history of average 40 units of weekly alcohol consumption prior to the operation could not be confirmed and the patient did not show any sign of alcohol dependence. Within a few months of treatment with a daily oral dose of thiamine 200 mgs supplemented by multivitamins the patient showed subjective evidence of improvement in confusion, confabulation, and anterograde amnesia, although objective tests showed residual deficits in many areas of cognitive functioning, including immediate and delayed recall of verbal and non-verbal materials, planning and switching of attention.
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spelling doaj-art-2580a8a55bb4497584b08f0c039868ae2025-02-03T00:59:01ZengWileyBehavioural Neurology0953-41801875-85842002-01-01133-4899410.1155/2002/702526Wernicke-Korsakoff Syndrome following Small Bowel ObstructionShoumitro Deb0Richard Law-Min1David Fearnley2Department of Psychological Medicine, University of Wales College of Medicine, Heath Park, Cardiff CF14 4XN, UKDepartment of Psychological Medicine, University of Wales College of Medicine, Heath Park, Cardiff CF14 4XN, UKDepartment of Psychological Medicine, University of Wales College of Medicine, Heath Park, Cardiff CF14 4XN, UKWe report a case of a 64-year-old lady who developed clinical features of Wernicke-Korsakoff syndrome following a laparotomy for small bowel obstruction. Following the operation she developed paralytic ileus and required total parenteral nutrition for one month. A suspected history of average 40 units of weekly alcohol consumption prior to the operation could not be confirmed and the patient did not show any sign of alcohol dependence. Within a few months of treatment with a daily oral dose of thiamine 200 mgs supplemented by multivitamins the patient showed subjective evidence of improvement in confusion, confabulation, and anterograde amnesia, although objective tests showed residual deficits in many areas of cognitive functioning, including immediate and delayed recall of verbal and non-verbal materials, planning and switching of attention.http://dx.doi.org/10.1155/2002/702526
spellingShingle Shoumitro Deb
Richard Law-Min
David Fearnley
Wernicke-Korsakoff Syndrome following Small Bowel Obstruction
Behavioural Neurology
title Wernicke-Korsakoff Syndrome following Small Bowel Obstruction
title_full Wernicke-Korsakoff Syndrome following Small Bowel Obstruction
title_fullStr Wernicke-Korsakoff Syndrome following Small Bowel Obstruction
title_full_unstemmed Wernicke-Korsakoff Syndrome following Small Bowel Obstruction
title_short Wernicke-Korsakoff Syndrome following Small Bowel Obstruction
title_sort wernicke korsakoff syndrome following small bowel obstruction
url http://dx.doi.org/10.1155/2002/702526
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AT richardlawmin wernickekorsakoffsyndromefollowingsmallbowelobstruction
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