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J Korean Assoc Oral Maxillofac Surg. 2016 Apr;42(2):120-2. doi: 10.5125/jkaoms.2016.42.2.120. Epub 2016 Apr 27.

Wernicke's encephalopathy in a patient with masticator and parapharyngeal space abscess: a case report.

Journal of the Korean Association of Oral and Maxillofacial Surgeons

Young-Jai Chin, Kyu-Ho Yoon, Kwan-Soo Park, Jae-An Park, Min-Ho Woo

Affiliations

  1. Department of Oral and Maxillofacial Surgery, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea.

PMID: 27162754 PMCID: PMC4860378 DOI: 10.5125/jkaoms.2016.42.2.120

Abstract

Wernicke's encephalopathy is a fatal neurological disease caused by thiamine deficiency. Many reports indicate that Wernicke's encephalopathy is caused by malnutrition. We report the case of a 79-year-old female patient who had a left masticator space and parapharyngeal space abscess who was diagnosed with Wernicke's encephalopathy. She reported problems while eating due to the presence of the abscess, but the true quantities of food she was ingesting were never assessed. Clinicians have a responsibility to provide adequate nutritional support by ensuring that patients receive adequate nutrition. Clinicians should also keep in mind that Wernicke's encephalopathy may occur in patients who experienced prolonged periods of malnutrition.

Keywords: Malnutrition; Masticator space and parapharyngeal space abscess; Parenteral nutrition; Wernicke encephalopathy

References

  1. AJNR Am J Neuroradiol. 2007 Aug;28(7):1328-31 - PubMed
  2. Am Fam Physician. 1990 Apr;41(4):1205-9 - PubMed
  3. Eur J Radiol. 2006 Jan;57(1):43-53 - PubMed
  4. Isr Med Assoc J. 2012 Nov;14(11):692-4 - PubMed
  5. Eur J Radiol. 2012 Dec;81(12):4099-104 - PubMed
  6. Case Rep Med. 2013;2013:709474 - PubMed
  7. Oral Maxillofac Surg Clin North Am. 2006 Feb;18(1):115-30, vii - PubMed
  8. J Palliat Care. 2012 Winter;28(4):290-2 - PubMed
  9. QJM. 2015 Aug;108(8):661-3 - PubMed
  10. Alcohol Clin Exp Res. 2013 May;37(5):885-9 - PubMed
  11. Psychosomatics. 2012 Nov-Dec;53(6):507-16 - PubMed

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