wernicke encephalopathy Flashcards
1
Q
what is wernicke encephalopathy
A
neuropsychiatric disorder caused by thiamine deficiency which is most commonly seen in alcoholics. Rarer causes include: persistent vomiting, stomach cancer, dietary deficiency.
2
Q
triad for wernicke
A
ophthalmoplegia/nystagmus
ataxia
confusion
3
Q
features of wernicke
A
- nystagmus (the most common ocular sign)
- ophthalmoplegia
- ataxia
- confusion, altered GCS
- peripheral sensory neuropathy
4
Q
Ix for wernicke
A
decreased red cell transketolase
MRI
5
Q
Tx for wernicke
A
thiamine
6
Q
what is korsakoff
A
amnesia (antero+ reterograde)
confabulations
