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| Content Provider | African Journals Online (AJOL) |
|---|---|
| Author | Badr Alami Faouzi Belahsen Naima Chtaou Siham Bouchal Mustafa Maaroufi Naoual Bougtoub |
| Abstract | L´encéphalopathie de Gayet Wernicke (EGW) estune urgence neurologique secondaire à une carenceen thiamine (vitamine B1) le plus souventsecondaire à l´alcoolisme chronique. L´objectif de cetravail est de rappeler certaines situations cliniquesévocatrices d´EGW autre que l´éthylisme et lesdifférentes anomalies en IRM autour de 4observations. L´âge moyen des patients était de 40ans (2 femmes et 2 hommes). Le tableauneurologique comportait des troubles de lavigilance chez tous les patients, des troublesoculomoteurs dans 2 cas, et une ataxie cérébelleusechez un seul patient. La notion de vomissementschroniques était notée dans 2 cas, un jeûneprolongé dans un cas et l´alcoolisme pour le dernier. ArticleSiham Bouchal et al. PAMJ - 36(259). 10 Aug 2020. - Page numbers not for citation purposes. 2L´IRM cérébrale avait révélé des anomaliesévocatrices d´EGW chez tous les patients avec uneprise de contraste pour un cas. Le déficit enthiamine était confirmé chez 2 patients. Dans notrecontexte l´EGW semble être plus fréquente dansd´autres circonstances pathologiques autres quel´alcoolisme chronique (vomissements chroniques,dénutrition sévère, un jeûne pathologique, etchimiothérapie...). Le contexte clinique peut fairesuspecter d´autres pathologies comme lathrombose veineuse cérébrale, l´accident vasculairecérébral, ou un autre trouble métabolique maisl´IRM a permis de les écarter et de poser lediagnostic d´EGW. L´IRM cérébrale présente unintérêt primordial dans le diagnostic de l´EGW.L´absence ou le retard de la mise en route dutraitement influence le pronostic. |
| File Format | |
| e-ISSN | 19378688 |
| Journal | Pan African Medical Journal |
| Issue Number | 1 |
| Volume Number | 36 |
| Language | English French |
| Publisher Date | 2021-10-12 |
| Access Restriction | Open |
| Subject Keyword | General Science Humanities Health Encéphalopathie de Gayet Wernicke anomalies IRM clinique et contexte |
| Content Type | Text |
| Resource Type | Article |
| Subject | Medicine Decision Sciences |
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