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

Wernicke's encephalopathy is a neurological condition due to longstanding
thiamine (vitamin B1 ... of confusion, ataxia ... (broad-based gait ... #vitaminB1 #B1 # ... Korsakoff #Syndrome #diagnosis
Wernicke Encephalopathy - Triad

Encephalopathy 
 • Disorientation 
 • Indifference 
 • Inattentiveness 
Ocular motor dysfunction
Wernicke Encephalopathy ... gaze palsies Ataxia ... • Gait • ... Syndrome #Triad #Diagnosis ... Neurology #Thiamine #Deficiency
Clinically Important Vitamins and Vitamin Deficiency States
Fat-soluble Vitamins: 
 • Vitamin A - Xerophthalmia, night blindness,
Clinically Important ... Vitamins and Vitamin Deficiency ... Haemolytic anaemia, ataxia ... • Thiamine B1 ... #differential #diagnosis
Wernicke's Encephalopathy 
CLINICAL TRIAD: only seen in 1/4 pts 
W.E. is often under diagnosed 
1. ENCEPHALOPATHY
CLINICAL TRIAD ... is often under diagnosed ... GAIT ATAXIA (23% ... no upper limb ataxia ... #diagnosis #triad
Micronutrient Deficiencies After Gastric Bypass
Fat-Soluble Vitamins:
 • Vitamin A - Night/complete blindness, xeropthalmia (pathologic dryness of
(encephalopathy ... oculomotor dysfunction, gait ... ataxia), Korsakoff ... sensory neuropathy, ataxia ... #differential #diagnosis
Causes of Gait Disturbance - Differential Diagnosis Algorithm
Sporadic
 • Vascular
 • Infection
 • Toxic
 • Nutrition
Causes of Gait Disturbance ... - Differential Diagnosis ... Childhood Catalytic Deficiency ... Niemann-Pick Disease #Gait ... #Differential #Diagnosis
Korsakoff Syndrome
Clinical Findings:
 • Confabulation: Usually initial phase of the disease
 • Anterograde amnesia: Memory impairment
Korsakoff Syndrome Clinical ... presentation of Thiamine deficiency ... untreated Wernicke Encephalopathy ... factors of Wernicke Encephalopathy ... Syndrome #neurology #diagnosis
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 ... Brain #Disorders #Clinical ... #Differential #Diagnosis