Case Report
Volume 14 Issue 1 - 2022
Presentation of a Case of Dry Beri-Beri in our Hospital and the Electromyographic-EMG-ENG Correlation
A Molina León* and C Tudor Franco
Clinical Neurophysiology Service, University Hospital of Santa Lucia, Cartagena, Murcia, Spain
*Corresponding Author: A Molina León, Clinical Neurophysiology Service, University Hospital of Santa Lucia, Cartagena, Murcia, Spain.
Received: November 03, 2021; Published: December 31, 2021


This article presents the case of a young woman with a case of Wernicke’s encephalopathy and polyneuropathy associated with Beri-Beri, vitamin B deficiency and we focus on the electroneurographic and electromyographic description of the case and its differences with the AIDP. Guillen Barre syndrome. In this patient, the presence of an axonal involvement, not demyelinating, of sensory and motor nerves of predominance in MMII of asymmetric distribution and acute course was clearly verified. If polyneuropathy is associated with encephalopathy, the picture known as Wernicke’s syndrome and polyneuropathy due to thiamine deficiency occurs [2,3,5,6]. This patient was seen by us in January and then in October 8 months later ostensibly improving sensory and motor neurography.

His article presents the case of a young woman with a case of Wernicke encephalopathy and polyneuropathy associated with beriberi, vitamin B deficiency, and we focus on the electroneurographic and electromyographic description of the case and its differences with the AIDP. Guillén Barre syndrome. In this patient, the presence of non-demyelinating axonal involvement of sensory and motor nerves, predominantly in MMII of asymmetric distribution and of acute course, was clearly verified. If the polyneuropathy is associated with encephalopathy, the condition known as Wernicke syndrome and thiamine deficiency polyneuropathy occurs. This patient was seen 8 months later with marked improvement in sensory and motor neurography.

Keywords: Polyneuropathy; Beri-Beri; Thiamine Deficiency; Axonal Lesion; EMG; TIQA MINA; PYRIDOXINE


  1. , et al. “Wernicke's encephalopathy and polyneuropathy associated with B-complex deficiency after bariatric surgery”. 1 (2012).
  2. Ba F and Siddiqi ZA. “Neurologic complications of bariatric surgery”. Reviews in Neurological Diseases 7 (2010): 119-124.
  3. Pournaras D and le Roux C. “After bariatric surgery, what vitamins should be measured and what supplements should be given?”. Clinical Endocrinology71 (2009): 322-325.
  4. Priya S., et al. “Neurologic Manifestations of Nutritional Disorders”. 15 (2014): 273-290.
  5. Thaisetthawatkul P., et al. “Good nutritional control may prevent polyneuropathy after bariatric surgery”. Muscle & Nerve 42 (2010): 709-714.
  6. Ziegler O., et al. “Medical follow up after bariatric surgery: Nutritional and drug issues. General recommendations for the prevention and treatment of nutritional deficiencies”. Diabetes & Metabolism 35 (2009): 544-57.
  7. Reynolds EH . “The neurology of folic acid deficiency”. Handbook of Clinical Neurology 120 (2014): 927.
  8. Donnino M., et al. “Myths and misconceptions of Wernicke’s encephalopathy: What every emergency physician should know”. Annals of Emergency Medicine 50 (2007): 715-721.
  9. Cirignotta F., et al. “Wernicke-Korsakoff encephalopathy and polyneuropathy after gastroplasty for morbid obesity: Report of a case”. Archives of neurology 57 (2000): 1356-1359.
  10. Huertas-González N., et al. “Wernicke's Encephalopathy, Wet Beriberi, and Polyneuropathy in a Patient with Folate and Thiamine Deficiency Related to Gastric Phytobezoar”. Case Reports in Neurological Medicine (2015).
  11. Singh S and Kumar A. “Wernicke encephalopathy after obesity surgery: A systematic review”. Neurology 68 (2007): 807-811.
  12. Aluka KJ., et al. “Guillain-Barré syndrome and postbariatric surgery polyneuropathies”. JSLS 13 (2009): 250-253.
  13. Koike H., et al. “Rapidly developing weakness mimicking Guillain-Barré syndrome in beriberi neuropathy: Two case reports”. Nutrition 24 (2008): 776-780.
  14. Teitleman M and Katzka DA. “A case of polyneuropathy after gastric bypass surgery”. Archive of "Medscape General Medicine" 7 (2005): 21.
  15. Wilson RK., et al. “Wernicke’s encephalopathy: Beyond alcoholism”. Nature Clinical Practice Neurology 2 (2006): 54-58.
  16. Sechi GP and Serra A. “Wernicke’s encephalopathy: New clinical settings and recent advances in diagnosis and management”. The Lancet Neurology 6 (2007): 442-455.
  17. Fei GQ., et al. “Clinical characteristics and MR imaging features of nonalcoholic Wernicke encephalopathy”. American Journal of Neuroradiology 29 (2008): 164-169.
  18. Kumar V., et al. “The central nervous system”. En: Robbins and Cotran pathologic basis of disease”. (2009): 1328-1329.
  19. Nakamura K., et al. “Polyneurophaty following gastric by pass surgery”. The American Journal of Medicine 115 (2003): 679-680.
Citation: A Molina León and C Tudor Franco. “Presentation of a Case of Dry Beri-Beri in our Hospital and the Electromyographic-EMGENG Correlation”. EC Neurology 14.1 (2022): 30-40.

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