Wernicke-korsakoff Syndrome
Wernicke-Korsakoff syndrome
is a combination of
Korsakoff's syndrome
which constitutes confusion,
aphonia
and
confabulation
; and
Wernicke's encephalopathy
which is
nystagmus
,
opthalmoplegia
,
coma
and, if untreated,
death
. It is also known as cerebral beriberi, which is
beriberi
(
thiamine
deficiency disease) in the
brain
.
Causes
This condition results from severe
acute deficiency
of
thiamine
superimposed on a
chronic deficiency
. Thiamine is a cofactor in
glucose metabolism
, and so anything that encourages glucose metabolism without replenishing thiamine stores may result in Wernicke-Korsakoff syndrome. It is usually found in malnourished
chronic alcoholics
, though it is also found in patients who undergo prolonged
intravenous
(IV) therapy,
gastric stapling
or
intensive care unit
(ICU) patients. The site of damage in the brain is the
mammillary bodies
.
Diagnosis
The diagnosis can be confirmed by measuring
blood
levels of thiamine. The treatment for this is to reverse the thiamine deficiency by giving supplemental thiamine - usually by starting with an initial intravenous or intramuscular dose followed by supplemental oral doses.
External link
MedlinePlus Medical Encyclopedia
:
Wernicke-Korsakoff syndrome
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