WERNICKES KORSAKOFF SYNDROME
Abstract
Wernickes korsakoff syndrome (WKS) is a combined disorder of Wernicke's encephalopathy and korsakoff psychosis which is a neurological disorder. Wernicke enchplaophaty and korsakoff psychosis are the acute and the chronic phase respectively, wernickes korsakoff syndrome is mostly observed in chronic alcoholism and rarely with non-alcoholics. It includes symptoms of diplopia,ophthalmoplegis, ataxia, retrograde and anterograde amnesia. It is easily diagnosed by a dietary deficiency, ocular abnormalities, cerebellar dysfunction, memory impairment.WKS also include gliosis and microhemorrhages in periaqueductal and paraventricular grey matter, atrophy in the mamillary bodies and thalamus, volume deficits in the hippocampus, cerebellar hemispheres, pons, and anterior superior vermis. In the early stages of the Wernicke's korsakoff can be preventable to the chronic stage irreversible stage of korsakoff psychosis by treating it with thiamine for few days and the improvement of the symptoms is observed after few weeks.
Downloads
References
2. Yoon C, Gedzior J, DePry D. Wernicke-Korsakoff syndrome: Focus on low-threshold diagnosis and prompt treatment in the primary care setting. Int J Psychiatry Med. 2019 May;54(3):172-180. [PubMed]
3. van Dongen LCM, Wingbermühle E, van der Veld WM, Vermeulen K, Bos-Roubos AG, Ockeloen CW, Kleefstra T, Egger JIM. Exploring the behavioral and cognitive phenotype of KBG syndrome. Genes Brain Behav. 2019 Apr;18(4):e12553. [PMC free article] [PubMed]
4. Polegato BF, Pereira AG, Azevedo PS, Costa NA, Zornoff LAM, Paiva SAR, Minicucci MF. Role of Thiamin in Health and Disease. Nutr Clin Pract. 2019 Aug;34(4):558-564. [PubMed]
5. Harper C, Gold J, Rodriguez M, Perdices M. The prevalence of the Wernicke-Korsakoff syndrome in Sydney, Australia: a prospective necropsy study. J Neurol Neurosurg Psychiatry. 1989 Feb;52(2):282–285. [Europe PMC free article] [Abstract] [Google Scholar]
6. w ernicke C. Lehrbuch Der Gehirnkrankheiten Für Aerzte Und Studirende, Band II. Kassel: Fischer; 1881. [Google Scholar]
7. Bonhoeffer K. Die Akuten Geisteskrankheiten Der Gewohnheitstrinker. Jena: Fischer; 1901. [Google Scholar]
8. Bonhoeffer K. Der Korsakowsche Symptomenkomplex in seinen Beziehungen zu den verschiedenen Krankheitsformen. Allg Z Psychiat. 1904;61:744–752. [Google Scholar]
9. Wuest H. The history of thiamine. Ann N Y Acad Sci. 1962;98:385–400. [PubMed] [Google Scholar]
10. Phillips BGB, Victor M, Adams RD, Davidson CS. A study of the nutritional defect in Wernicke’s syndrome; the effect of a purified diet, thiamine, and other vitamins on the clinical manifestations. J Clin Invest. 1952;31(10):859–871. [PMC free article] [PubMed] [Google Scholar]
11. Isenberg-Grzeda E, Chabon B, Nicolson SE. Prescribing thiamine to inpatients with alcohol use disorders: how well are we doing? J Addict Med. 2014 Jan-Feb;8(1):1-5. [PubMed].
12. Feeney GF, Connor JP. Wernicke-Korsakoff syndrome (WKS) in Australia: no room for complacency. Drug Alcohol Rev. 2008 Jul;27(4):388-92. [PubMed]
13. Harper C. The neurotoxicity of alcohol. Hum Exp Toxicol. 2007 Mar;26(3):251-7. [PubMed].
14. Day E, Bentham P, Callaghan R, Kuruvilla T, George S. Thiamine for Wernicke-Korsakoff Syndrome in people at risk from alcohol abuse. Cochrane Database Syst Rev. 2004;(1):CD004033. [PubMed]
Copyright © Author(s) retain the copyright of this article.

.