Evidence map›Paper›PMID 34988882›Full record

ArticleCEN case reports2022

A case of Wernicke encephalopathy arising in the early stage after the start of hemodialysis.

Nayuta Seto, Mayumi Ishida, Tatsuya Hamano, Hideki Onishi, Nozomu Uchida

Open access · greenAbstract readCase Reports
In one paragraph

Article in CEN case reports, 2022. 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
0.7field-weighted citation impact, top 29% 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, 7 citations in OpenAlex.

  1. Article
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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

5 authors at 3 institutions in 1 country.

Nayuta SetoDepartment of Internal Medicine, Chichibu Municipal Hospital, 8-15 Kumaki Twon, Chichibu City, Saitama, 368-8686, Japan.
Mayumi IshidaDepartment of Psycho-Oncology, Saitama Medical University International Medical Center, 1397-1 Yamane, Saitama, 350-1298, Japan.
Tatsuya HamanoDepartment of Urology, Chichibu Municipal Hospital, 8-15 Kumaki Twon, Chichibu City, Saitama, 368-8686, Japan.
Hideki OnishiDepartment of Psycho-Oncology, Saitama Medical University International Medical Center, 1397-1 Yamane, Saitama, 350-1298, Japan. honishi@saitama-med.ac.jp.ORCID 0000-0003-2949-2734
Nozomu UchidaDepartment of Internal Medicine, Ogano Town Central Hospital, 300 Ogano, Ogano Town, Saitama, 368-0105, Japan.
Saitama International Medical Center · JPSaitama Municipal Hospital · JPSaitama Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Wernicke encephalopathy (WE) resulting from vitamin B1 (VB1) deficiency is commonly regarded as being associated with a high alcohol intake; however, recently many non-alcohol-related cases have been reported. Herein, we report a case of WE due to VB1 deficiency in the early stage after the start of hemodialysis. The patient was a 79-year-old male recommended for hemodialysis due to chronic renal failure. He was admitted to our hospital due to a hemorrhagic duodenal ulcer, but hemodialysis was started as the result of exacerbation of renal function. After the start of 3-times-weekly hemodialysis, the patient's general condition was settled and he was able to consume about half his usual dietary intake. Seventeen days after the start of hemodialysis, impaired consciousness and involuntary movements appeared, and subsequent head magnetic resonance imaging showed increased signal intensity around the cerebral aqueduct. VB1 administration based on a suspicion of WE resulted in a significant improvement in neurological symptoms and no sequelae were observed. Hemodialysis may be a risk factor for VB1 deficiency. When a dialysis patient presents with psychiatric symptoms or impaired consciousness, in particular, it is important to always keep the possibility of VB1 deficiency in mind.

Indexed as

Thiamine DeficiencyWernicke EncephalopathyAgedHumansKidney Failure, ChronicMagnetic Resonance ImagingMaleRenal DialysisCase reportDecreased oral intakeHemodialysisVitamin B1 (VB1) deficiencyWernicke encephalopathy (WE)

Identifiers

PMID34988882
PMCPMC9343524
OpenAlexW4206535260

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.