A 76-year-old woman who had been on hemodialysis for 3 years developed ischemic mitral valve insufficiency, tricuspid insufficiency, and chronic atrial fibrillation, and underwent cardiac surgery. On the 4th postoperative day, she experienced a sudden disturbance of consciousness, aphasia, and limb ataxia. Brain computed tomography and magnetic resonance imaging showed no abnormalities. Wernicke’s encephalopathy was suspected and the patient was given vitamin B1, whereupon her symptoms gradually improved. On the 42nd postoperative day, she was free of neurological symptoms and discharged.
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UedaYUtsunomiyaHFujiiAKanaumiTYasumotoS. Wernicke encephalopathy in a chronic peritoneal dialysis patient-correlation between diffusion MR and pathological findings. No To Hattatsu2007; 39: 210–213.
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Nakatani-EnomotoSMoriyaAKikuchiSMochizukiHSugiuraYUgawaY. Wernicke encephalopathy in a non-alcoholic patient with diabetic nephropathy under hemodialysis. Rinsho Shinkeigaku2010; 50: 409–411.
