Do I Have Wernicke Encephalopathy?

As far as you know, do you get enough vitamin B1 through your diet?

Do you drink alcohol excessively (drinking 8 drinks or more per week if you are a woman, or drinking 15 drinks or more per week if you are a man)?

Did you have any type of acute infection just before the onset of your symptoms?

Do you have abnormal eye movements (back and forth movements called nystagmus)?

Do you have vision changes such as double vision?

Do you have a drooping upper eyelid?

Do you have slow, unsteady, a broad-based gait or difficulty standing or walking without assistance?

Do you have loss of muscle coordination (ataxia) that can cause leg tremor?

Do you feel confused or disorientated?

Do you feel indifference, inattention, drowsiness or dizziness?

Do you have memory problems?

Do your pupils appear to be uneven?

Based on your answers it is unlikely that you have Wernicke encephalopathy. Wernicke encephalopathy is an acute neurological disorder caused by severe thiamine deficiency (vitamin B1 deficiency). The energy necessary for the proper functioning of brain cells is produced with the help of thiamine. When thiamine levels in the body are low, brain cells cannot function properly. Vitamin B1 deficiency is common in people with an alcohol use disorder, in people who cannot absorb food properly, in people with chronic diseases or in those who have had weight-loss surgery. Wernicke's encephalopathy affects about 2 percent of people in the general population, but is often undiagnosed.

Based on your answers there is a possibility that you have Wernicke encephalopathy. Wernicke encephalopathy (WE) is a neurological disease that results from inadequate intake or absorption of thiamin (vitamin B1). Wernicke encephalopathy is most important disorder due to a single vitamin deficiency. In people with severe thiamine deficiency, the onset of Wernicke encephalopathy is often preceded by an acute infection. The characteristic sign of WE are eye abnormalities, especially nystagmus (repetitive, uncontrolled eye movements). A diagnosis is based on thorough clinical evaluation and a detailed patient history. Timely diagnosis is extremely important.

Based on your answers there is a high possibility that you have Wernicke encephalopathy. Wernicke encephalopathy (WE) is a brain disorder caused by vitamin B1 deficiency (thiamin). It is characterized by a triad of symptoms that include confusion, eye abnormalities and loss of balance. With timely diagnosis and adequate therapy, all abnormalities caused by WE can be corrected. Treatment consists of immediate administration of thiamin. Eye problems resolve within 24 hours of starting treatment, while balance problems and confusion may persist for several days or weeks. In people who drink, cessation of alcohol is mandatory. Proper nutrition, not drinking alcohol or drinking moderately reduces the risk of WE.