Evidence map›Paper›PMID 33791058›Full record

ArticleThe Neurohospitalist2021

Wernicke-Korsakoff Syndrome in Hyperemesis Gravidarum: A Case Report and Literature Review.

Gerald T Pagaling, Adrian I Espiritu, Carl Froilan D Leochico, Vida Margarette D Andal, Krystle Anne R Blasco, Marjorie Anne C Bagnas, Paul Matthew D Pasco

Open access · greenAbstract readCase Reports
In one paragraph

Article in The Neurohospitalist, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 39% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Gerald T PagalingDepartment of Neurosciences, College of Medicine and Philippine General Hospital, University of the Philippines Manila, Philippines.ORCID https://orcid.org/0000-0001-7918-3302
Adrian I EspirituDepartment of Neurosciences, College of Medicine and Philippine General Hospital, University of the Philippines Manila, Philippines.
Carl Froilan D LeochicoDepartment of Rehabilitation Medicine, College of Medicine and Philippine General Hospital, University of the Philippines Manila, Philippines.
Vida Margarette D AndalDepartment of Neurosciences, College of Medicine and Philippine General Hospital, University of the Philippines Manila, Philippines.
Krystle Anne R BlascoDepartment of Radiology, College of Medicine and Philippine General Hospital, University of the Philippines Manila, Philippines.
Marjorie Anne C BagnasDepartment of Neurosciences, College of Medicine and Philippine General Hospital, University of the Philippines Manila, Philippines.
Paul Matthew D PascoDepartment of Neurosciences, College of Medicine and Philippine General Hospital, University of the Philippines Manila, Philippines.
Philippine General Hospital · PH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWernicke-Korsakoff syndrome (WKS) is a triad of ophthalmoplegia, ataxia and memory deficits due to thiamine insufficiency resulting from under- or untreated Wernicke's encephalopathy (WE), which may be associated with hyperemesis gravidarum (HEG). CASE PRESENTATION: We present a case of a 36-year-old Filipino woman in her first trimester with HEG, along with the WKS triad and abnormal hyperintense signals in the bilateral thalami and midbrain, left occipital lobe, periaqueductal gray matter and pontine periventricular areas. Neurologic deficits partially improved but persisted despite intravenous thiamine administration. EVIDENCE REVIEW: A review of current treatments for WE, and the prevention and neurocognitive recovery of WKS was done. The beneficial effects of thiamine for acute WKS are supported by several case reports and clinical experience. Evidence from one randomized controlled trial wherein thiamine was given in various doses for treating WE or preventing WKS in an alcohol-dependent population is limited by methodological issues. Rehabilitation and pharmacotherapy for neurocognitive recovery seems promising, but they have inadequate evidentiary support. More robust studies on multi-modal strategies are warranted to facilitate the neurocognitive recovery of patients with WKS.

Indexed as

case reporthyperemesis gravidarumthiamine deficiencyWernicke-Korsakoff syndrome

Identifiers

PMID33791058
PMCPMC7958682
OpenAlexW3083429178

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.