• Am J Emerg Med · Mar 1994

    Case Reports

    Reversible neurological deficits in a chronic alcohol abuser: a case report of Wernicke's encephalopathy.

    • M E Guido, W Brady, and D DeBehnke.
    • Department of Internal Medicine, Medical College of Wisconsin, Milwaukee 53226.
    • Am J Emerg Med. 1994 Mar 1; 12 (2): 238-40.

    AbstractThe abuse of alcohol presents daily challenges for the emergency medicine physician. Wernicke's encephalopathy represents one of the metabolic complications associated with alcoholism. A classic presentation of Wernicke's encephalopathy is reported. The patient presented to the emergency department with the chief complaint of confusion, difficulty ambulating, and visual disturbances. Following administration of intravenous thiamine, the patient's symptoms spontaneously resolved. The pathophysiology, clinical presentation and therapy of this classic disorder are discussed.

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