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[Wernicke-Korsakoff syndrome]
S V Kotov1, A I Lobakov1, E V Isakova1
1M.F. Vladimirski Moscow Regional Research Institute, Moscow, Russia.
Zhurnal Nevrologii I Psikhiatrii Imeni S.S. Korsakova
|August 9, 2016
Summary
Non-alcoholic Wernicke-Korsakoff syndrome (WKS) in gastrointestinal disease patients requires prompt thiamine treatment. Early diagnosis and vitamin B therapy can prevent severe cognitive deficits.
Area of Science:
- Neurology
- Gastroenterology
- Nutritional Science
Background:
- Non-alcoholic Wernicke-Korsakoff syndrome (WKS) is a serious neurological complication.
- Gastrointestinal tract (GIT) diseases, malabsorption, and upper GIT surgery increase WKS risk.
Purpose of the Study:
- To investigate the diagnosis and treatment of non-alcoholic Wernicke-Korsakoff syndrome (WKS).
Main Methods:
- Study included eight patients with WKS linked to GIT disease, malabsorption, or post-surgery.
- Clinical manifestations, MRI findings, and treatment responses were analyzed.
Main Results:
- Patients presented with consciousness disturbance, ataxia, eye movement disorders, and bulbar syndrome within 24-48 hours.
- MRI showed characteristic brain lesions in the hypothalamus, mamillary bodies, brain stem, and hippocampus.
- Treatment with vitamin B complex and thiamine demonstrated a positive therapeutic effect.
Conclusions:
- Patients with GIT disease and malabsorption are identified as a high-risk group for WKS.
- Prompt recognition of neurological symptoms and initiation of thiamine treatment are crucial.
- Timely thiamine administration can prevent the development of irreversible cognitive deficits.
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