[Wernicke's encephalopathy and dialysis: report of two cases].

Abstract:

:Wernicke encephalopathy is considered a complication of dialytic therapy, but there are few reports of this complication. We report a 57 years old man and a 45 years old woman, with grade IV renal failure, who after acute peritoneodialysis and chronic hemodialysis respectively, had a confusional syndrome that responded to the administration of thiamine. CT scans in both patients discarded abnormal blood collections or new cerebrovascular episodes. The man bad two previous cerebrovascular episodes, a severe anemia that was corrected, angina and an episode of arrhythmia during the dialytic procedure previous to the confusional episode. The woman had an acute uremic syndrome and a concomitant urinary tract infection during the confusional episode. Wernicke encephalopathy must be suspected in patients in dialysis with confusional episodes.

journal_name

Rev Med Chil

journal_title

Revista medica de Chile

authors

Toro J,Sacks C,Fuentes R

subject

Has Abstract

pub_date

1997-05-01 00:00:00

pages

577-81

issue

5

eissn

0034-9887

issn

0717-6163

journal_volume

125

pub_type

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