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Bilateralt bortfall av horisontell vestibulo-okulär reflex - Ett tidigt och specifikt kliniskt tecken vid Wernickes encefalopati

Salzer, Jonatan ; Zizka, Jan and Karlberg, Mikael LU (2019) In Läkartidningen 116.
Abstract

Wernicke encephalopathy is a condition in which thiamine deficiency causes cognitive dysfunction, ataxia and eye motor abnormalities. The condition is potentially reversible if treated with high doses of intravenous thiamine (vitamin B1). The video head impulse test, in which the vestibulo-ocular reflex is tested, can reveal an early specific sign of selective dysfunction in the medial vestibular nuclei by demonstrating selective dysfunction of the horisontal vestibulo-ocular reflex. We present two cases with clinical and neuroradiological findings consistent with Wernicke encephalopathy where such oculomotor findings were detected.

Please use this url to cite or link to this publication:
author
; and
alternative title
Bilateral loss of the horizontal vestibulo-ocular reflex in Wernicke encephalopathy - a specific and early clinical sign
publishing date
type
Contribution to journal
publication status
published
subject
in
Läkartidningen
volume
116
publisher
Swedish Medical Association
external identifiers
  • pmid:30694522
  • scopus:85060589725
  • scopus:85063344617
ISSN
0023-7205
language
Swedish
LU publication?
no
id
48c8f1c0-c2a4-454f-8ada-cb239427b47e
alternative location
http://lakartidningen.se/Klinik-och-vetenskap/Fallbeskrivning/2019/01/Bilateralt-bortfall-av-horisontell-vestibulo-okular-reflex/
date added to LUP
2019-02-05 12:43:07
date last changed
2024-03-19 00:58:42
@article{48c8f1c0-c2a4-454f-8ada-cb239427b47e,
  abstract     = {{<p>Wernicke encephalopathy is a condition in which thiamine deficiency causes cognitive dysfunction, ataxia and eye motor abnormalities. The condition is potentially reversible if treated with high doses of intravenous thiamine (vitamin B1). The video head impulse test, in which the vestibulo-ocular reflex is tested, can reveal an early specific sign of selective dysfunction in the medial vestibular nuclei by demonstrating selective dysfunction of the horisontal vestibulo-ocular reflex. We present two cases with clinical and neuroradiological findings consistent with Wernicke encephalopathy where such oculomotor findings were detected.</p>}},
  author       = {{Salzer, Jonatan and Zizka, Jan and Karlberg, Mikael}},
  issn         = {{0023-7205}},
  language     = {{swe}},
  month        = {{01}},
  publisher    = {{Swedish Medical Association}},
  series       = {{Läkartidningen}},
  title        = {{Bilateralt bortfall av horisontell vestibulo-okulär reflex - Ett tidigt och specifikt kliniskt tecken vid Wernickes encefalopati}},
  url          = {{http://lakartidningen.se/Klinik-och-vetenskap/Fallbeskrivning/2019/01/Bilateralt-bortfall-av-horisontell-vestibulo-okular-reflex/}},
  volume       = {{116}},
  year         = {{2019}},
}