Two pregnant women with vomiting and fits.

Rees, J H; Ginsberg, L; Schapira, A H · Am J Obstet Gynecol · 1997

case_report · Level V

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Abstract

Two women with hyperemesis gravidarum were first seen with a short history of confusion diplopia, unsteadiness, and fits caused by Wernicke's encephalopathy. The neurologic presentation had been precipitated by a carbohydrate load inadvertently administered without vitamin supplementation. We stress the importance of prescribing thiamine supplements to all women with prolonged vomiting during pregnancy.

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