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Wernicke's Encephalopathy

Cause
1. Thiamine deficiency associated with Alcoholism
Signs
1. Ataxia
2. Confusion
3. Internal Strabismus
4. Vertical and horizontal Nystagmus
Complications
1. Korsakoff's Disease
Management: Emergent Thiamine Dosing
1. Start: Thiamine 50 mg IV and 50 mg IM now
2. Later: Thiamine 50 mg PO or IM qd

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 6/1/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.