Merve Hilal Dolu1, Filiz Mıhçı1, Haydar Ali Taşdemir1, Ömer Faruk Aydın2

1Ondokuz Mayıs University, Pediatric Neurology, Samsun, Türkiye
2Samsun Lıv Hospital, Pediatric Neurology, Samsun, Türkiye

Keywords: Wernicke’s encephalopathy, thiamine deficiency, hypertension, psychotic


Wernicke’s encephalopathy is an acute neuropsychiatric syndrome caused by thiamine (vitamin B1) deficiency. The classical triad of Wernicke’s encephalopathy is mental confusion, oculomotor dysfunction, and ataxia. It is generally associated with alcoholism and prolonged parenteral nutrition without vitamin supplementation. Wernicke’s encephalopathy must be treated urgently to prevent death and neurological morbidity. In this report, we present an unusual pediatric case of Wernicke’s encephalopathy in which the patient initially presented with hypertension. Intravenous thiamine of 100 mg daily treatment was started, after which she became normotensive. This is the first reported case of Wernicke’s encephalopathy presenting with hypertension and resolved after thiamine treatment.

Cite this article as: Dolu MH, Mihci F, Tasdemir HA, Aydin OF. Unusual presentation of Wernicke’s encephalopathy with hypertension. Pediatr Acad Case Rep. 2023;2(2):60-62.

Conflict of Interest

The authors declared no conflicts of interest with respect to authorship and/or publication of the article.

Financial Disclosure

The authors received no financial support for the research and/or publication of this article.