Wernicke encephalopathy

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Wernicke Encephalopathy

Wernicke encephalopathy (pronunciation: VERN-ih-kee en-sef-uh-LOP-uh-thee) is a serious neurological disorder. It is also known as Wernicke's disease.

Etymology

The condition is named after Carl Wernicke, a German neurologist who first described the condition in 1881.

Definition

Wernicke encephalopathy is characterized by the presence of three symptoms: mental confusion, oculomotor dysfunction, and gait ataxia. It is caused by a deficiency in the vitamin thiamine (vitamin B1), often due to alcohol abuse.

Symptoms

The main symptoms of Wernicke encephalopathy are:

  • Confusion: This can range from mild to severe, and can include disorientation and memory problems.
  • Oculomotor dysfunction: This refers to problems with eye movements, such as nystagmus (involuntary eye movements) and paralysis of the eye muscles.
  • Ataxia: This is a lack of muscle coordination which can affect speech, eye movements, and the ability to swallow, walk or pick up objects.

Treatment

Treatment for Wernicke encephalopathy involves replacing the thiamine deficiency, usually through injections or oral supplements. If left untreated, the condition can lead to Wernicke-Korsakoff syndrome, a chronic and debilitating syndrome characterized by severe memory loss and confabulation (making up stories).

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