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February 28, 2026Brain and Development Case ReportsOpen Access

Wernicke encephalopathy in a teenager following sleeve gastrectomy: a case report

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Authors

QMQuinton MandleAHAna Caba HerreraNKNeil Kulkarni

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Overview

A case report reveals rapid neurologic recovery from Wernicke encephalopathy in a teenager after thiamine repletion, suggesting increased awareness in pediatrics is needed.

Key Points

  • To highlight a case of Wernicke encephalopathy in a teenager post-sleeve gastrectomy and the importance of thiamine repletion.
  • Case report of a 17-year-old female.
  • Evaluation included clinical examination and MRI brain imaging.
  • Thiamine level assessment and high-dose thiamine treatment were administered.
  • Patient experienced rapid neurologic recovery after thiamine repletion.
  • MRI findings indicated Wernicke encephalopathy.
  • Initial serum thiamine level was 35 nmol/L, confirming deficiency.

Cite This Study

Mandle et al. (2026) studied this question.

synapsesocial.com/papers/69a287b00a974eb0d3c03a50https://doi.org/10.1016/j.bdcasr.2026.100131
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Early identification and treatment of Wernicke encephalopathy in an adolescent patient2024
  2. 2Atypical presentation of Wernicke encephalopathy due to thiamine deficiency in a patient post sleeve gastrectomy2024 · 1 citations
  3. 3Wernicke’s encephalopathy after laparoscopic sleeve gastrectomy2026
  4. 4Wernicke’s polyneuropathy in a sixteen-year-old male patient with anorexia nervosa (case report)2025
  5. 5Non-Alcoholic Gayet-Wernicke Encephalopathy in an Elderly Malnourished Patient: A Case Report and Review of Diagnostic and Therapeutic Approaches2024