Wernicke Encephalopathy Quiz
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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
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History - considers past illnesses, surgeries, family history, and lifestyle choices.
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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
Pain across the entire body
Hallucinations
Seizure
Enlarged male breast tissue
Walking has become so unsteady that I always need to hold onto something for support
Abnormal behavior
Hands and legs became clumsy - I cannot do fine work with them
Doctor's Diagnostic Questionson Wernicke Encephalopathy
Your doctor may ask these questions to check for this disease:
Do you see double?
Do you have body-wide pain?
Have you experienced non-existent sensory perceptions?
Have you had a seizure?
Have you noticed an unusual increase in your breast size?
Treatmentof Wernicke Encephalopathy
Wernicke encephalopathy requires intravenous or intramuscular thiamine for treatment.
Think you might have
Wernicke Encephalopathy
View the symptoms of Wernicke Encephalopathy
Diseases related to Wernicke Encephalopathy
References
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.12522
Sinha 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/fulltext
Fujikawa 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/E143
Ota 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
User Testimonials
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.
Think you might have
Wernicke Encephalopathy
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Cardiothoracic Surgery, Vascular Surgery
Cardiothoracic and Vascular Surgery Associates
