Summary. An Orphanet summary for this disease is currently under development. However, other data related to the disease are accessible from the Additional. Pittella JE, de Castro LP. Wernicke’s encephalopathy manifested as Korsakoff’s syndrome in a patient with promyelocytic leukemia. South Med. Wernicke encephalopathy (WE) is an acute neurological condition characterized by a clinical Diekfuss JA, De Larwelle J, McFadden SH.

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Wernicke encephalopathy – Wikipedia

Other less frequent symptoms are hypothermia, tachycardia, hearing loss and epileptic seizures. Thiamine is first metabolised to its more active form, thiamine diphosphate TDPbefore it is used.

B vitamins B 1: Protein-energy malnutrition Kwashiorkor Marasmus Catabolysis. Wernicke’s encephalopathy induced by total parental nutrition. Zhonghua er ke za zhi.

Wernucke thiamine deficiency identified by preoperative evaluation in an ovarian cancer patient: Thiamine, also called B1, helps to break down glucose. Clinical and pathological features of alcohol-related brain damage. European Journal of Neurology.

Singh S, Kumar A. Korsakoff’s syndromecharacterised by memory impairment, confabulation, confusion and personality changes, has a strong and recognised link with WE. Most symptoms will improve quickly if deficiencies are treated early.


If glucose is given, such as in hypoglycaemic alcoholics, thiamine must be given concurrently. Due to its high morbi-mortality, diagnosis and treatment should be made as soon as possible. However, survivors of WE may develop korsakoff psychosis and require encefaloptaia institutionalization. Thiamine supplementation, along with other vitamins, is recommended for patients in risk of developing this syndrome. In patients suspected of WE, thiamine treatment should be started immediately.

Wernicke encephalopathy

However, a complete blood count and the comprehensive metabolic panel can be completed to exclude other causes of central nervous system abnormalities. Since encevalopatia infusion of intravenous glucose solutions encefallopatia precipitate a WE, these should be preceded or accompanied by the administration of thiamine.

WE is a medical emergency and treatment should be started as soon as one considers this diagnosis. These patients are sick, frail and malnourished.

Convergence Spasm in Wernicke Encephalopathy.

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Preventing Wernicke’s encephalopathy in anorexia nervosa: This criteria is challenged because all the cases he studied were alcoholics. Olgado Ferrero 1M.

There is evidence to indicate that Wernicke encephalopathy is underdiagnosed. Surg Obes Relat Dis. Also a much more diverse range of symptoms has been found in patients with this condition, including:.


Thiamine deficiency and errors of thiamine metabolism are believed to be the primary cause of Wernicke encephalopathy.

Specifically, it acts as an essential coenzyme to the TCA cycle and the pentose phosphate shunt. Wernicke encephalopathy wernicoe classically been thought of as a disease solely of alcoholics, but it is also found in the chronically undernourished, and in recent years had been discovered post bariatric surgery.

Confabulations can be spontaneous or provoked with provoked confabulation commonly seen in chronic Korsakoff syndrome and spontaneous confabulation usually noted in the acute Wernicke state. The condition is part of a larger group of thiamine deficiency disorders, that includes beriberi in all its forms, and alcoholic Korsakoff syndrome.

Missing the early signs of thiamine deficiency.