Wernicke Encephalopathy Quiz
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Brain fog
Can't walk without hold onto something
Leg pain
Can't focus
Unusual behavior
Unable to recall name
Hallucinations
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What is Wernicke Encephalopathy?
Wernicke encephalopathy (WE) is an acute neurologic condition condition characterized by vision changes, ataxia (loss of coordination and balance), and confusion. It is caused by B1 or thiamine deficiency.
Typical Symptoms of Wernicke Encephalopathy
- Double vision
- History of stomach surgery
- Difficulty speaking, performing tasks, or recognizing things
- Walking has become so unsteady that I always need to hold onto something for support
- Difficulty concentrating
- Poor memory
- Difficulty with fine motor control or coordination in hands and feet
- Increased tendency to trip and fall
Diagnostic Questions for Wernicke Encephalopathy
Your doctor may ask these questions to check for this disease:
- Are you experiencing double vision?
- Did you have gastric resection surgery?
- Have you been experiencing difficulty speaking, performing tasks, or recognizing things?
- Do you always need support while walking due to unsteadiness?
- Do you have difficulty concentrating?
Treatment of Wernicke Encephalopathy
Wernicke encephalopathy requires intravenous or intramuscular thiamine for treatment.
Reviewed By:
Samantha Nazareth, MD (Gastroenterology)
Board-certified gastroenterologist. Experience managing gastrointestinal conditions (GERD, IBS, ulcerative colitis, Crohn’s, celiac disease, NASH) within healthcare organizations (three ambulatory surgical centers, single-specialty practice, multi-specialty practice and solo practice).
Shohei Harase, MD (Neurology)
Dr. Harase spent his junior and senior high school years in Finland and the U.S. After graduating from the University of Washington (Bachelor of Science, Molecular and Cellular Biology), he worked for Apple Japan Inc. before entering the University of the Ryukyus School of Medicine. He completed his residency at Okinawa Prefectural Chubu Hospital, where he received the Best Resident Award in 2016 and 2017. In 2021, he joined the Department of Cerebrovascular Medicine at the National Cerebral and Cardiovascular Center, specializing in hyperacute stroke.
Content updated on Mar 31, 2024
Following the Medical Content Editorial Policy
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- My eyes hurt when i move them
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- See everything double
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- Speech is difficult and requires conscious effort
- I can not concentrate on my work
- Can't read words like I used to
- Can't perform tasks
- Unable to sit for a long time
- Started having reading difficulty as an adult
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Symptoms Related to Wernicke Encephalopathy
Diseases Related to Wernicke Encephalopathy
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1References
Latt N, Dore G. Thiamine in the treatment of Wernicke encephalopathy in patients with alcohol use disorders. Intern Med J. 2014 Sep;44(9):911-5. doi: 10.1111/imj.12522. PMID: 25201422.
https://onlinelibrary.wiley.com/doi/10.1111/imj.12522Sinha S, Kataria A, Kolla BP, Thusius N, Loukianova LL. Wernicke Encephalopathy-Clinical Pearls. Mayo Clin Proc. 2019 Jun;94(6):1065-1072. doi: 10.1016/j.mayocp.2019.02.018. PMID: 31171116.
https://www.mayoclinicproceedings.org/article/S0025-6196(19)30255-1/fulltextFujikawa T, Sogabe Y. Wernicke encephalopathy. CMAJ. 2020 Feb 10;192(6):E143. doi: 10.1503/cmaj.190998. PMID: 32041699; PMCID: PMC7012630.
https://www.cmaj.ca/content/192/6/E143Ota Y, Capizzano AA, Moritani T, Naganawa S, Kurokawa R, Srinivasan A. Comprehensive review of Wernicke encephalopathy: pathophysiology, clinical symptoms and imaging findings. Jpn J Radiol. 2020 Sep;38(9):809-820. doi: 10.1007/s11604-020-00989-3. Epub 2020 May 10. PMID: 32390125.
https://link.springer.com/article/10.1007/s11604-020-00989-3