Treatment of Alcohol-induced Wernicke’s Encephalopathy

  • Wernicke's encephalopathy is a severe and life-threatening illness resulting from vitamin B1 (thiamine) deficiency. It is a reversible medical emergency.
  • According to The European Federation of Neurological Societies (EFNS) guidelines, Wernicke’s encephalopathy is diagnosed by the occurrence of a minimum of 2 of 4 of the following features (Ota et al, 2020; Habas et al., 2023):
  1. Dietary deficiencies-Hx of poor diet intake, low body mass index, low serum B1 level
  2. Ophthalmoplegia
  3. Cerebellar dysfunction-Abnormal figure-nose test, heel–shin test, gait abnormalities, ataxia, dysdiadokokinesia . . .

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