医学
忽视
韦尼克脑病
韦尼克脑病
混乱
缓和医疗
乳腺癌
癌症
疗养院
脑病
硫胺素
护理部
重症监护医学
精神科
内科学
心理学
硫胺素缺乏
精神分析
作者
Samantha Brown,Suzanne Hutt-Williams
出处
期刊:BMJ supportive & palliative care
[BMJ]
日期:2022-07-13
卷期号:12 (4): 460-462
标识
DOI:10.1136/spcare-2022-003787
摘要
This 54-year-old woman with metastatic breast cancer presented with severe confusion, incontinence and self-neglect. MRI suggested Wernicke's encephalopathy (WE) without any history of alcohol misuse. The patient's symptoms seemed to not respond to acute treatment. Cancer progression was assumed to be causing her condition and she was discharged to a nursing home with community palliative care team follow-up. This case demonstrates the natural course of cancer-associated WE and eventual improvement with thiamine therapy. It also illustrates a role for specialist palliative care follow up for patients discharged to a nursing home for expected end-of-life care.
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