Korsakoff's Syndrome - Symptoms Of Korsakoff's Syndrome, Why Alcoholism Can Lead To Korsakoff's, Diagnosis
deficiency wernicke thiamine rice
Korsakoff's syndrome is a memory disorder which is caused by a deficiency of vitamin B1, also called thiamine. In the United States, the most common cause of such a deficiency is alcoholism. Other conditions which cause thiamine deficiency occur quite rarely, but can be seen in patients undergoing dialysis (a procedure during which the individual's blood circulates outside of the body, is mechanically cleansed, and then circulated back into the body), pregnant women with a condition called hyperemesis gravidarum (a condition of extreme morning sickness, during which the woman vomits up nearly all fluid and food intake), and patients after surgery who are given vitamin-free fluids for a prolonged period of time. In developing countries, people whose main source of food is polished rice (rice with the more nutritious outer husk removed) may suffer from thiamine deficiency.
An associated disorder, Wernicke's syndrome, often precedes Korsakoff's syndrome. In fact, they so often occur together that the spectrum of symptoms produced during the course of the two diseases is frequently referred to as Wernicke-Korsakoff syndrome. The main symptoms of Wernicke's syndrome include ataxia (difficulty in walking and maintaining balance), paralysis of some of the muscles responsible for movement of the eyes, and confusion. Untreated Wernicke's Syndrome will lead to coma and then death.
Additional Topics
An individual with Korsakoff's syndrome displays difficulty with memory. The main area of memory affected is the ability to learn new information. Usually, intelligence and memory for past events is relatively unaffected, so that an individual may remember what occurred 20 years previously, but be unable to remember what occurred 20 minutes previously. This memory defect is referred to as a…
One of the main reasons that alcoholism leads to thiamine deficiency occurs because of the high-calorie nature of alcohol. A person with a large alcohol intake often, in essence, substitutes alcohol for other, more nutritive calorie sources. Food intake drops off considerably, and multiple vitamin deficiencies develop. Furthermore, it is believed that alcohol increases the body's requiremen…
Whenever an individual has a possible diagnosis of alcoholism, and then has the sudden onset of memory difficulties, it is important to seriously consider the diagnosis of Korsakoff's syndrome. There is no specific laboratory test to diagnose Korsakoff's syndrome in a patient, but a careful exam of the individual's mental state can be revealing. Although the patient's a…
Treatment of both Korsakoff's and Wernicke's syndromes involves the immediate administration of thiamine. In fact, any individual who is hospitalized for any reason and who is suspected of being an alcoholic, must receive thiamine. The combined Wernicke-Korsakoff syndrome has actually been precipitated in alcoholic patients hospitalized for other medical illnesses, by the administrat…
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