Clinical Analysis of Superior Mesenteric Artery Syndrome Complicated with Wernicke Encephalopathy_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

CHEN Shaoquan , WANG Yu , LYunxiao , DAI Lujie , PAN Jinlan ,  HUANG Sheng.

Department of General Surgery, Fuzhou General Hospital and Research Institute of General Surgery, Nanjing Military Area Command, Fuzhou 350025, Fujian Province, China;

Corresponding author：

HUANG Sheng., Email: huangsheng1977@hotmail.com

Keywords：

Wernicke encephalopathy; Superior mesenteric artery syndrome; Wernicke encephalopathy triad; Vitamin B1; Treatment

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ObjectiveTo explore the pathogenesis, diagnosis and treatment of superior mesenteric artery syndrome (SMAS) complicated with Wernicke encephalopathy (WE). MethodsThe clinical data of 11 cases of SMAS patients complicated with WE were retrospectively analyzed. ResultsOf 9 SMAS patients complicated with WE, 8 patients were gradually awake and the time of consciousness recovery was from 7 d to 9 weeks (mean 5.2 weeks). Another 1 patient died of multiple organ failure attributed to severe condition. The symptoms of ophthalmopegia and ataxia in the rest 2 patients improved. All of symptoms such as ataxia, nystagmus, tinnitus, nausea, and sweating gradually disappeared. The nystagmus disappeared from 3 h to 4 d (mean 2.3 d) in five patients and the ataxia disappeared from 3 d to 12 weeks (mean 7.0 weeks) in 4 patients. The tinnitus, nausea, and sweating in 6 patients disappeared within 1 week. ConclusionImproving the understanding of SMAS complicated with WE is important during clinical practice and early diagnosis and intervention is the key point for a good prognosis.

Citation： CHEN Shaoquan,WANG Yu,LYunxiao,DAI Lujie,PAN Jinlan,HUANG Sheng.. Clinical Analysis of Superior Mesenteric Artery Syndrome Complicated with Wernicke Encephalopathy. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2011, 18(1): 73-75. doi: Copy

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14.	Zhong CJ, Jin L, Fei G. MR Imaging of nonalcoholic Wernicke encephalopathy: a followup study [J]. AJNR Am J Neuroradiol, 2005, 26(9): 23012305.
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1. Agrawal GA, Johnson PT, Fishman EK. Multidetector row CT of superior mesenteric artery syndrome [J]. J Clin Gastroenterol, 2007, 41(1): 6265.
2. Jain R. Superior mesenteric artery syndrome [J]. Curr Treat Options Gastroenterol, 2007, 10(1): 2427.
3. Kopelman MD, Thomson AD, Guerrini I, et al. The Korsakoff syndrome: clinical aspects, psychology and treatment [J]. Alcohol Alcohol, 2009, 44(2): 148154.
4. Rugilo CA, Uribe Roca MC, Zurru MC, et al. Proton MR spectroscopy in Wernicke encephalopathy [J]. AJNR Am J Neuroradiol, 2003, 24(5): 952955.
5. Sechi GP, Serra A, Pirastru MI, et al. Wernicke’s encephalopathy in a woman on slimming diet [J]. Neurology, 2002, 58(11): 16971698.
6. Martin PR, Singleton CK, HillerSturmhfel S. The role of thiamine deficiency in alcoholic brain disease [J]. Alcohol Res Health, 2003, 27(2): 134142.
7. Boniol S, Boyd M, Koreth R, et al. Wernicke encephalopathy complicating lymphoma therapy: case report and literature review [J]. South Med J, 2007, 100(7): 717719.
8. Aasheim ET. Wernicke encephalopathy after bariatric surgery: a systematic review [J]. Ann Surg, 2008, 248(5): 714720.
9. 秦高平, 王小强, 邱健, 等. 长期全胃肠外营养并发Wernicke脑病的临床分析 [J]. 肠外与肠内营养, 2006, 13(5): 305307.
10. Harper CG, Giles M, FinlayJones R. Clinical sings in the WernickeKorsakoff: a retrospective analysis of 131 cases diagnosed at necropsy [J]. J Neurol Neurosurg Psychiatry, 1986, 49(4): 341345.
11. 顾翠, 张锐. Wernicke脑病 [J]. 中国临床神经科学, 2009, 17(3): 328331.
12. Suzuki K, Takiguchi Y, Suzuki S, et al. Magnetic resonance images in rhombencephalitis due to Listeria monocytogenes mimicking Wernicke encephalopathy [J]. Intern Med, 2008, 47(8): 817818.
13. 任峰, 董海波. Wernicke脑病9例MRI检查分析 [J]. 现代实用医学, 2009, 21(5): 466467.
14. Zhong CJ, Jin L, Fei G. MR Imaging of nonalcoholic Wernicke encephalopathy: a followup study [J]. AJNR Am J Neuroradiol, 2005, 26(9): 23012305.
15. 付少红, 贺斌. 慢性酒精中毒性脑病18例临床分析 [J]. 中华神经科杂志, 2004, 37(2): 185.

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Clinical Analysis of Superior Mesenteric Artery Syndrome Complicated with Wernicke Encephalopathy

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