{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T01:32:39Z","timestamp":1780104759343,"version":"3.54.0"},"reference-count":8,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2018,12,20]]},"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:p>Wernicke\u2019s encephalopathy (WE) is an uncommon neurological complication in pregnancies complicated with hyperemesis due to thiamine deficiency. In women with hyperemesis, inadvertent glucose administration prior to thiamine supplementation triggers the development of neurological manifestations. Delay in the diagnosis can lead to maternal morbidity, and in one-third of cases may lead to persistence of some neurological deficit. With early recognition and thiamine supplementation, complete recovery is reported. We report a case of WE complicating a case of triplet pregnancy with hyperemesis gravidarum, which highlights the importance of early recognition and treatment, resulting in complete recovery as in the index case.<\/jats:p>","DOI":"10.1136\/bcr-2018-227530","type":"journal-article","created":{"date-parts":[[2019,2,8]],"date-time":"2019-02-08T08:29:04Z","timestamp":1549614544000},"page":"bcr-2018-227530","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Complete recovery in Wernicke\u2019s encephalopathy complicating hyperemesis gravidarum"],"prefix":"10.1136","volume":"12","author":[{"given":"Tripti","family":"Aneja","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Jawaharlal Institute of Post-graduate Medical Education and Research, Pondicherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Latha","family":"Chaturvedula","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Jawaharlal Institute of Post-graduate Medical Education and Research, Pondicherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pradeep Pankajakshan","family":"Nair","sequence":"additional","affiliation":[{"name":"Department of Neurology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepak","family":"Barathi","sequence":"additional","affiliation":[{"name":"Department of Radiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anish","family":"Keepanasseril","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Jawaharlal Institute of Post-graduate Medical Education and Research, Pondicherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,2,7]]},"reference":[{"key":"2025082802013257000_12.2.bcr-2018-227530.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ogc.2008.04.002"},{"key":"2025082802013257000_12.2.bcr-2018-227530.2","doi-asserted-by":"publisher","DOI":"10.1097\/01.ogx.0000206336.08794.65"},{"key":"2025082802013257000_12.2.bcr-2018-227530.3","doi-asserted-by":"publisher","DOI":"10.2165\/00002018-199819020-00006"},{"key":"2025082802013257000_12.2.bcr-2018-227530.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.nrl.2011.03.001"},{"key":"2025082802013257000_12.2.bcr-2018-227530.5","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.171.4.9763009"},{"key":"2025082802013257000_12.2.bcr-2018-227530.6","doi-asserted-by":"crossref","first-page":"141","DOI":"10.3988\/jcn.2006.2.2.141","article-title":"Diffusion-Weighted MRI in Recurrent Wernicke\u2019s Encephalopathy: a remarkable cerebellar lesion","volume":"2","author":"Kim","year":"2006","journal-title":"J Clin Neurol"},{"key":"2025082802013257000_12.2.bcr-2018-227530.7","doi-asserted-by":"publisher","DOI":"10.1007\/s10072-011-0660-y"},{"key":"2025082802013257000_12.2.bcr-2018-227530.8","doi-asserted-by":"crossref","first-page":"1499","DOI":"10.3109\/14767058.2011.629253","article-title":"Wernicke\u2019s encephalopathy complicating hyperemesis gravidarum: from the background to the present","volume":"25","author":"Di Gangi","year":"2012","journal-title":"J Matern Fetal Neonatal Med"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-227530","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:01:40Z","timestamp":1756371700000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-227530"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2]]},"references-count":8,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2019,2,7]]},"published-print":{"date-parts":[[2019,2]]}},"alternative-id":["10.1136\/bcr-2018-227530"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-227530","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,2]]}}}