書誌事項
- タイトル別名
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- A Case of Wernicke's Encephalopathy that Developed after Treatment of Laryngeal Cancer
- リンショウ コウトウ ガン ホウシャセン カガク リョウホウゴ ニ ハッショウシタ Wernicke ノウショウレイ
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説明
A patient with laryngeal cancer had difficulty in eating during radio-chemotherapeutic treatment. Transfusion without vitamins had been given for 40 days, then dizziness on walking and nystagmus developed.<br>Equilibrium function tests showed a saccadic pattern of the ETT, inhibition of the OKP and the reduced caloric responce, but the normal VEMP. Symmetrical high-intensity lesions from the thalamus to the brain stem was observed on MRI-FLAIR.<br>Since Wernicke encephalopathy was suspected, administration of vitamin B1 was started. Four days later, dizziness improved and appetite was increased. ETT, OKP and MRI findings improved.<br>Although thiamine deficiency in the blood was not proved, Wernicke encephalopathy was highly suspected. The equilibrium function tests and MRI findings suggested a lesion from the thalamus to the abducens nucleus. Thiamine administration improved the symptoms rapidly. It is necessary for undernourished patients to take a vitamin supplements to prevent Wernicke encephalopathy.
収録刊行物
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- 耳鼻咽喉科臨床
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耳鼻咽喉科臨床 101 (3), 179-183, 2008
耳鼻咽喉科臨床学会
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詳細情報 詳細情報について
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- CRID
- 1390282679238922752
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- NII論文ID
- 10021294078
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- NII書誌ID
- AN00107089
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- ISSN
- 18844545
- 00326313
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- NDL書誌ID
- 9404313
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可