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

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Áø¿µÀç ( Chin Young-Jai ) - Inje University College of Medicine Sanggye Paik Hospital Department of Oral and Maxillofacial Surgery
À±±¸È£ ( Yoon Kyu-Ho ) - Inje University College of Medicine Sanggye Paik Hospital Department of Oral and Maxillofacial Surgery
¹Ú°ü¼ö ( Park Kwan-Soo ) - Inje University College of Medicine Sanggye Paik Hospital Department of Oral and Maxillofacial Surgery
¹ÚÀç¾È ( Park Jae-An ) - Inje University College of Medicine Sanggye Paik Hospital Department of Oral and Maxillofacial Surgery
¿ì¹ÎÈ£ ( Woo Min-Ho ) - Inje University College of Medicine Sanggye Paik Hospital Department of Oral and Maxillofacial Surgery

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.

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

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