Abstract

Gayet-Wernicke encephalopathy is an acute neurological disorder resulting from thiamine deficiency. Its diagnosis can be challenging due to its varying clinical presentations, which can be atypical or nonspecific. Although chronic alcoholism is a common cause, Gayet-Wernicke encephalopathy can also develop in conditions associated with thiamine deficiency, including undernutrition, prolonged fasting, chronic vomiting, and exclusive artificial feeding. Although rare, the condition is reversible if promptly diagnosed and treated. Here, we present a case of Gayet-Wernicke encephalopathy in a pregnant patient who presented with intractable vomiting, and whose radiological findings were atypical, making the diagnosis more challenging.

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