<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0300-9041</journal-id>
<journal-title><![CDATA[Ginecología y obstetricia de México]]></journal-title>
<abbrev-journal-title><![CDATA[Ginecol. obstet. Méx.]]></abbrev-journal-title>
<issn>0300-9041</issn>
<publisher>
<publisher-name><![CDATA[Federación Mexicana de Colegios de Obstetricia y Ginecología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0300-90412022000100009</article-id>
<article-id pub-id-type="doi">10.24245/gom.v90i1.5462</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Más allá de los vómitos. Encefalopatía de Wernicke por hiperémesis gravídica]]></article-title>
<article-title xml:lang="en"><![CDATA[Beyond vomiting. Wernicke encephalopathy due to hyperemesis gravidarum.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sillero-Castillo,]]></surname>
<given-names><![CDATA[Ana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Palazón,]]></surname>
<given-names><![CDATA[Sara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torres-Aguilar,]]></surname>
<given-names><![CDATA[M Rosario]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Baena-Palomino,]]></surname>
<given-names><![CDATA[Pablo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sanz-Fernández,]]></surname>
<given-names><![CDATA[Gema]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Granell-Escobar]]></surname>
<given-names><![CDATA[M Reyes]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Juan Ramón Jiménez  ]]></institution>
<addr-line><![CDATA[Huelva ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Juan Ramón Jiménez  ]]></institution>
<addr-line><![CDATA[Huelva ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2022</year>
</pub-date>
<volume>90</volume>
<numero>1</numero>
<fpage>96</fpage>
<lpage>102</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412022000100009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412022000100009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412022000100009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  ANTECEDENTES: La hiperémesis gravídica es una afección grave que pueden padecerla incluso 2% de las embarazadas. Este cuadro puede desembocar en una encefalopatía de Wernicke debido a un déficit de vitamina B1 que, en su forma activa, desempeña un papel decisivo en el metabolismo neuronal.  OBJETIVO: Contribuir a la comprensión de los aspectos preventivos y el diagnóstico e insistir en la importancia del tratamiento temprano que disminuya la morbilidad y la mortalidad materna y perinatal derivada de esta afección.  CASO CLÍNICO: Paciente con 18 semanas de embarazo que en el contexto de una hiperémesis gravídica resultó con una encefalopatía de Wernicke que se complicó con una hidrocefalia severa fetal.  CONCLUSIONES: Esta urgencia neurológica se caracteriza por una tríada clásica: ataxia, confusión y oftalmoplejia que no siempre se manifiesta en su totalidad, lo que dificulta el diagnóstico. Si el diagnóstico y el tratamiento no se establecen tempranamente pueden originarse complicaciones irreversibles.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  BACKGROUND: Hyperemesis gravidarum is a serious condition that can affect up to 2% of pregnant women. This condition can lead to Wernicke&amp;apos;s encephalopathy due to a deficiency in vitamin B1 which, in its active form, plays a decisive role in neuronal metabolism.  OBJETIVE: To contribute to the understanding of preventive aspects and diagnosis and to insist on the importance of early treatment to reduce morbidity and maternal and perinatal mortality derived from this condition.  CLINICAL CASE: Patient 18 weeks pregnant who in the context of hyperemesis gravidarum resulted in Wernicke&amp;apos;s encephalopathy complicated by severe fetal hydrocephalus.  CONCLUSIONS: This neurological emergency is characterized by a classic triad: ataxia, confusion and ophthalmoplegia that does not always manifest in its entirety, making diagnosis difficult. If diagnosis and treatment are not established early, irreversible complications may arise.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Encefalopatía de Wernicke]]></kwd>
<kwd lng="es"><![CDATA[hiperémesis gravídica]]></kwd>
<kwd lng="es"><![CDATA[embarazo]]></kwd>
<kwd lng="es"><![CDATA[mortalidad perinatal]]></kwd>
<kwd lng="es"><![CDATA[embarazadas]]></kwd>
<kwd lng="es"><![CDATA[tiamina]]></kwd>
<kwd lng="es"><![CDATA[morbilidad]]></kwd>
<kwd lng="es"><![CDATA[vitamina B1]]></kwd>
<kwd lng="es"><![CDATA[hidrocefalia]]></kwd>
<kwd lng="en"><![CDATA[Wernicke&amp;apos;s encephalopathy]]></kwd>
<kwd lng="en"><![CDATA[Hyperemesis gravidarum]]></kwd>
<kwd lng="en"><![CDATA[Pregnancy]]></kwd>
<kwd lng="en"><![CDATA[Perinatal mortality]]></kwd>
<kwd lng="en"><![CDATA[Pregnant women]]></kwd>
<kwd lng="en"><![CDATA[Thiamine]]></kwd>
<kwd lng="en"><![CDATA[Morbidity]]></kwd>
<kwd lng="en"><![CDATA[Vitamin B1]]></kwd>
<kwd lng="en"><![CDATA[Hydrocephalus]]></kwd>
</kwd-group>
</article-meta>
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