Doctor insights on:
How Long Should Wernicke Encephalopathy Last
Deficiency of B1: It is a neurologic syndrome caused by a deficiency of vitamin b1. It is mostly confined to those with severe malnutrition, classically patients with alcoholism. It damages areas of the brain concerned with balance, eye movements and memory so those with the syndrome have difficulty walking ( ataxia) memory problems, and ey movement abnormalities. ...Read more
Disability?: Yes, it can become a disability if not treated quickly. However, rapid diagnosis and treatment can lead to full recovery -- supposing the person is also able to maintain healthy intake of nutrients after the crisis. (and not go on drinking alcohol, if that's what precipitated the problem to begin with). ...Read more
The best test...: ...Is probably to administer a dose of thiamine (vitamin b1) -- a rapid improvement suggests that the vitamin deficiency was responsible for encephalopathy in the first place. Otherwise a combination of symptoms and risk factors (such as alcoholism) is what leads to the diagnosis. ...Read more
Thiamine deficiency: Occurring in chronic alcoholics, chronic malnutrition, rarely during cancer chemo or pancreatitis. Symptoms include, confusion, disorientation, hallucinations, memory loss, abnormal eye movements including nystagmus and double vision, incoordination and imbalance. With prompt thiamine, symptoms may clear within a few days, but 25 % develop korsakoff's psychosis with permanent memory impairments. ...Read moreSee 1 more doctor answer
Wernicke's: Wernicke's encephalopathy is a serious neurologic disorder related to thiamine deficiency, and seen frequently in chronic alcoholics. The presenting triad of symptoms is confusion, ataxia, and ophthalmoplegia (inability to move the eyes). In advanced cases you might also see memory loss and confabulation -- the person fills in what isn't recalled, with stories that could sound okay, but aren't. ...Read more
Thiamine STAT!: The treatment of wernicke's encephalopathy, which is caused by thiamine deficiency, is replenishing the person with thiamine. Usually 500 mg is given 2-3 times parenterally -- also with magnesium because these patients are often deficient in that also. You don't want to give glucose in an IV without also supplying thiamine, because that could cause more brain cell death. ...Read more
If i suspect onset of wernicke encephalopathy can over-the-counter b1(thiamine) cure me? My right eye cannot turn in when i look far away
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