보행 실조, 복시 증세로 나타난 알코올성 베르니케 뇌병증

• 영문명: Alcoholic Wernicke Encephalopathy Presenting with Ataxic Gait and Diplopia
• 발행기관: 대한임상노인의학회
• 저자명: 고기동(Ki Dong Ko) 이윤택(Yoon Taek Lee) 이현(Hyun Lee) 황희영(Hee Young Hwang) 김경곤(Kyoung Kon Kim) 서희선(Heuy Sun Suh) 황인철(In Cheol Hwang) 이규래(Kyu Rae Lee)
• 간행물 정보: 『대한임상노인의학회지』대한임상노인의학회지 제18권 제1호, 48~51쪽, 전체 4쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2017.06.30

영문 초록

Wernicke’s encephalopathy is an acute, reversible neurologic disorder which arises as metabolic complication of thiamine (vitamin B1) deficiency, frequently associated with alcohol misuse. Although Wernicke’s encephalopathy is characterized by a classic triad of mental status changes, ataxia, and ocular motor abnormalities, heterogenous clinical manifestations are more common. Prompt and accurate diagnosis by clinical suspicion is important to avoid death or progression to Korsakoff syndrome with irreversible brain damage. Immediate supplementation of thiamine is the cornerstone of treatment despite no accepted consensus on the optimal regimen. In this case report, we describe a case of Wernicke’s encephalopathy, which presentd with typical symtoms in a 63-year-old man with chronic alcoholism and review related literature.

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키워드

Wernicke encephalopathy Alcohol-Related disorders Thiamine deficiency