Gómez L, Barrón E

Language: Spanish
References: 13
Page: 240-243
PDF size: 95.05 Kb.

ABSTRACT

Here we present a patient with a psychotic episode subsequent to a gastric bypass whose symptoms decrease upon initiating treatment with thiamine. This patient has a background of alcohol consumption since the age of 17 and symptoms of a long evolution mild depression who undergoes bariatric surgery and loses 40 kg. After surgery, depressive symptoms are exacerbated and started with psychosis. The patient presented a notable improvement to the administration or oral Thiamine, integrating the Wernicke Korsakoff syndrome following a gastric bypass and alcohol abuse disorder. In this case we can see that psychotic symptoms are present three months after bypass surgery, which could have conditioned to an accelerated depletion of thiamine levels in the central nervous system, exacerbated by alcohol consumption. Low levels of vitamin B12 are observed in only 70% of Korsakoff syndrome patients and that psychotic episodes have been reported on patients with normal thiamine levels. Such was the case observed of our patient, exhibiting considerable improvement chiefly in memory and a reduction in psychotic symptomatology.

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