Abstract:
:An alcoholic man who was admitted with an acute onset of neck pain and confusion was diagnosed as suffering from a subarachnoid hemorrhage after rupture of an anterior communicating artery aneurysm. Additionally, he showed a bilateral 6th nerve palsy of variable extent. The postoperative course was complicated by pulmonary edema and adult respiratory distress syndrome. He died on Day 28 after admission. At autopsy, surprisingly, the concomitant diagnosis of acute thiamine-deficient encephalopathy was made. Thiamine had been given only in minimal amounts during hospitalization. We describe the striking clinicopathological features of this previously undocumented case and consider the relationship between the two central nervous diseases.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Valdueza JM,Puchner MJ,Herrmann HDdoi
10.1227/00006123-199304000-00028subject
Has Abstractpub_date
1993-04-01 00:00:00pages
671-4issue
4eissn
0148-396Xissn
1524-4040journal_volume
32pub_type
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