26 results
Wernicke Encephalopathy - Acute Thiamine (B1) Deficiency 
Clinical Diagnosis - Caine Criteria (2 out of 4):
Wernicke Encephalopathy ... Thiamine (B1) Deficiency ... dysfunction and gait ... ataxia is only ... #Thiamine #B1 #Deficiency
Wernicke's Encephalopathy vs Korsakoff Syndrome - Thiamine Deficiency

Wernicke's encephalopathy is a neurological condition due to longstanding
Syndrome - Thiamine Deficiency ... thiamine (vitamin B1) deficiency ... of confusion, ataxia ... (broad-based gait ... #B1 #thiamine #deficiency
Wernicke Encephalopathy - Acute B1 (Thiamine) Deficiency - Diagnosis and Management
Diagnosis - Caine Criteria (2 of
Wernicke Encephalopathy ... dysfunction (e.g. gait ... ataxia - usually ... worsen Wernicke Encephalopathy ... neudrawlogy #Wernicke #Encephalopathy
Wernicke Encephalopathy - Triad

Encephalopathy 
 • Disorientation 
 • Indifference 
 • Inattentiveness 
Ocular motor dysfunction
Wernicke Encephalopathy ... - Triad Encephalopathy ... gaze palsies Ataxia ... • Gait • ... Neurology #Thiamine #Deficiency
Micronutrient Deficiencies After Gastric Bypass
Fat-Soluble Vitamins:
 • Vitamin A - Night/complete blindness, xeropthalmia (pathologic dryness of
vomiting, Wernicke's encephalopathy ... (encephalopathy ... oculomotor dysfunction, gait ... ataxia), Korsakoff ... sensory neuropathy, ataxia
Wernicke's Encephalopathy 
CLINICAL TRIAD: only seen in 1/4 pts 
W.E. is often under diagnosed 
1. ENCEPHALOPATHY
Wernicke's Encephalopathy ... ENCEPHALOPATHY ( ... GAIT ATAXIA (23% ... Primarily: Stance & gait ... no upper limb ataxia
Causes of Gait Disturbance - Differential Diagnosis Algorithm
Sporadic
 • Vascular
 • Infection
 • Toxic
 • Nutrition
Causes of Gait Disturbance ... • Friedrich's Ataxia ... Childhood Catalytic Deficiency ... Childhood Catalytic Deficiency ... Niemann-Pick Disease #Gait
Anticonvulsants as Mood Stabilizers: Mechanism and Side-effect
Examples: Valproate, Carbamazepine, Lamotrigine
 • Mild anticholinergic effect -> Drowsiness
Dose-dependent tremor, ataxia ... dizziness, diplopia, ataxia ... pruritus, weight gain ... #SideEffects #Pathophysiology
Imaging Patterns of Toxic and Metabolic Brain Disorders

Thalami, Mammillary Bodies and Tectum: Wernicke Encephalopathy
Dentate Nuclei: Metronidazole,
Tectum: Wernicke Encephalopathy ... Chronic Hepatic Encephalopathy ... , Cobalamin Deficiency ... Hyperammonemic Encephalopathy ... Differential #Diagnosis #Radiology
Thiamine Deficiency - Differential Diagnosis Framework and Clinical Manifestations

Causes of Thiamine Deficiency:
 • Poor intake:
	- Diets
Thiamine Deficiency ... Causes of Thiamine Deficiency ... • Wernicke's Encephalopathy ... Ophthalmoplegia - Ataxia ... beriberi #nutrition #pathophysiology