Functional neurological symptoms masquerading as Wernicke encephalopathy following bariatric surgery.
Bariatric surgery
Wernicke encephalopathy
conversion disorder
neuropsychology
somatic symptom disorder
Journal
Proceedings (Baylor University. Medical Center)
ISSN: 0899-8280
Titre abrégé: Proc (Bayl Univ Med Cent)
Pays: United States
ID NLM: 9302033
Informations de publication
Date de publication:
Oct 2019
Oct 2019
Historique:
received:
25
06
2019
revised:
26
07
2019
accepted:
30
07
2019
entrez:
29
10
2019
pubmed:
28
10
2019
medline:
28
10
2019
Statut:
epublish
Résumé
Wernicke encephalopathy (WE), caused by thiamine deficiency, is classically associated with alcoholism but is increasingly recognized among patients who have undergone bariatric surgery. As with other neurocognitive conditions, alternative explanations for symptoms, such as psychiatric, neurological, and motivational factors, must be considered before arriving at a diagnosis of WE. We present a patient after sleeve gastrectomy who was presumed to have WE; after detailed neuropsychological assessment, the condition was better conceptualized as a conversion disorder. The case illustrates the heretofore unrecognized role of bariatric surgery in the development of functional symptoms and demonstrates the importance of neuropsychological assessment in detecting functional symptoms.
Identifiants
pubmed: 31656438
doi: 10.1080/08998280.2019.1651149
pii: 1651149
pmc: PMC6794007
doi:
Types de publication
Case Reports
Langues
eng
Pagination
607-609Informations de copyright
Copyright © 2019 Baylor University Medical Center.
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