Wernicke's Encephalopathy CLINICAL TRIAD: only seen in 1/4 pts W.E. is often under diagnosed 1. ENCEPHALOPATHY (82%) Disorientation, Indifference, Inattentiveness. 5% have decr LOC 2. OCCULOMOTOR DYSFUNCTION (29%) Nystagmus, Lateral Rectus Palsy, Conjugate Gaze Palsy, INO, Unequal Pupils, Light near dissociation, Nonreactive pupils, etc 3. GAIT ATAXIA (23%) Primarily: Stance & gait Unlike Alcoholic Cerebellar Degeneration W.E. has no upper limb ataxia OTHER: peripheral neuropathy, hypothermia, cardiac, vestibular #Wernickes #Encephalopathy #diagnosis #triad #neurology
