WERNICKE'S ENCEPHALOPATHY- RARE MANIFESTATION OF HYPEREMESIS GRAVIDARUM-A CASE REPORT

Wernicke's Encephalopathy is a rare but known complication of hyperemesis gravidarum resulting from the combination of poor nutritional intake, frequent vomiting, and increased metabolic demands of pregnancy. Our patient presented with Wernicke's Encephalopathy resulting from prolonged hyperemesis gravidarum presented with rapidly evolving ataxia, blurring of vision and alterd sensorium. This is an unusual cause of Wernicke's Encephalopathy, a potentially fatal medical emergency due to thiamine deficiency. Characteristic brain MRI findings and rapid response to thiamine suggested that she had Wernicke's encephalopathy, possibly due to vomiting and dextrose administration without thiamine supplements. A high index of suspicion is required, since delayed or lack of treatment may lead to high morbidity and mortality.We stress upon the importance of early diagnosis and prompt treatment of Wernicke's Encephalopathy