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Indexed/Abstracted in: BIOSIS Previews, EMBASE, Scopus, Emerging Sources Citation Index
Online ISSN 1827-1812
Rosca E. C. 1, Rosca O. 2
1 Department of Neurology, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania;
2 Department of Infectious Diseases, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania
The Wernicke-Korsakoff syndrome is one of the gravest consequences of alcoholism but, due to the paucity of symptoms, it is often difficult to diagnose, a high index of suspicion being necessary. We present the case of a 56-year-old male with decompensated alcoholic cirrhosis with an acute confusional syndrome, ataxia and memory deficits. Because of his preexisting cirrhosis and untypical clinical signs, the initial diagnosis was hepatic encephalopathy but the paraclinical investigations did not confirm the suspicion. We raised the possibility of a Wernicke-Korsakoff encephalopathy and started intravenous treatment with thiamine, the patient’s status improving considerably.