VOLUME 32 - NUMBER 11-12 - 2011

“Syndrome in syndrome”: Wernicke syndrome due to afferent loop syndrome. Case report and review of the literature


  • D'Abbicco D., Praino S., Amoruso M., Notarnicola A., Margari A.
  • Clinical Article, 479-482
  • Full text PDF

  • Wernicke syndrome is a rare neurological pathology due to a deficit in vitamin B1. The syndrome is common among alcohol abusers, patients with malignant tumor or gastrointestinal diseases, those who undergo hemodialysis or long-term peritoneal dialysis, pregnant women with hyperemesis, women who breast-feed, patients with hyperthyroidism or anorexia nervosa or gastric or jejunal-ileal bypass surgery for obesity, patients submitted to gastric surgery or prolonged total parenteral nutrition or prolonged intravenous therapy. We report a case of Wernicke syndrome due to afferent loop syndrome characterized by incoercible vomiting.

  • KEY WORDS: Wernicke syndrome - Afferent loop syndrome.