J Korean Assoc Oral Maxillofac Surg.  2016 Apr;42(2):120-122. 10.5125/jkaoms.2016.42.2.120.

Wernicke's encephalopathy in a patient with masticator and parapharyngeal space abscess: a case report

Affiliations
  • 1Department of Oral and Maxillofacial Surgery, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea. OMS_kspark@paik.ac.kr

Abstract

Wernicke's encephalopathy is a fatal neurological disease caused by thiamine deficiency. Many reports indicate that Wernicke's encephalopathy is caused by malnutrition. We report the case of a 79-year-old female patient who had a left masticator space and parapharyngeal space abscess who was diagnosed with Wernicke's encephalopathy. She reported problems while eating due to the presence of the abscess, but the true quantities of food she was ingesting were never assessed. Clinicians have a responsibility to provide adequate nutritional support by ensuring that patients receive adequate nutrition. Clinicians should also keep in mind that Wernicke's encephalopathy may occur in patients who experienced prolonged periods of malnutrition.

Keyword

Wernicke encephalopathy; Malnutrition; Masticator space and parapharyngeal space abscess; Parenteral nutrition

MeSH Terms

Abscess*
Aged
Eating
Female
Humans
Malnutrition
Nutritional Support
Parenteral Nutrition
Thiamine Deficiency
Wernicke Encephalopathy*
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