Always give Pabrinex to anyone who is malnourished or alcoholic or hyperemesis. It contains ascorbic acid 500 mg, anhydrous glucose 1 g, nicotinamide 160 mg, pyridoxine hydrochloride 50 mg, riboflavin 4 mg, and thiamine hydrochloride 250 mg in a total of 10 ml especially before giving carbohydrates /glucose. If untreated Wernicke-Korsakoff syndrome may lead to an irreversible amnestic state.
Mamillary body, medial thalamus hypothalamus, Periaqueductal grey matter involved. T2 and FLAIR hyper and restriction of diffusion
Initial Management Summary
About
Clinical Signs of Acute Wernicke's encephalopathy
If untreated, this condition could develop into a Chronic Korsakoff’s Syndrome, which presents symptoms such as:
Causes
Differentials
Investigations
Management
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Wernicke Korsakoff Syndrome
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