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Related Experiment Video

Updated: Feb 23, 2026

Portable Thermographic Screening for Detection of Acute Wallenberg's Syndrome

Portable Thermographic Screening for Detection of Acute Wallenberg's Syndrome

Published on: September 19, 2019

Prolonged hypotension associated with Wernicke's encephalopathy.

H Maeda¹, A Kuriyama², T Tanaka³

¹Department of Emergency Medicine, Kurashiki Central Hospital, Kurashiki, Japan.

European Journal of Clinical Nutrition

|September 14, 2017

Summary

Wernicke

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Area of Science:

Neurology
Internal Medicine
Cardiology

Background:

Wernicke's encephalopathy (WE) diagnosis can be challenging.
Hypotension is a rare but reported complication of WE.
Alcohol abuse is a common risk factor for WE.

Observation:

A 69-year-old male with alcohol abuse presented with prolonged hypotension.
The patient experienced 9 days of unremitting hypotension requiring vasopressor support.
Signs of dysautonomia, including postural blood pressure fluctuations and bradycardia, were noted.

Findings:

Despite thiamine treatment, the patient exhibited persistent hypotension.
The clinical presentation suggested a significant association between dysautonomia and WE.
This case highlights a prolonged hypotensive episode linked to WE and dysautonomia.

Implications:

This case suggests a potential link between hypotension, dysautonomia, and Wernicke's encephalopathy.
Clinicians should consider WE in patients with unexplained hypotension and dysautonomia, especially with a history of alcohol abuse.
Further research is warranted to explore the pathophysiology and management of this association.