Sunday Scaries

Wernicke’s Encephalopathy – Sunday Scary

THE CASE: One of our not so regular alcoholic with pmhx of DM presented to the ED with eye pain with concerns for acute angle glaucoma. Upon discharge up to the eye clinic the patient states he was unable to walk. Muscle strength 5/5 and good reflexes.What was going on here?? Was this man faking it to get an admission or was there something else going on?? WERNICKE'S ENCEPHALOPATHY vs WERNICKE-KORSAKOFF SYNDROME Wernicke's Encephalopathy -Opthalmoplegia (nystagmus and lateral rectus palsy), ataxia, and disturbances of consciousness or mental activity (ALLĀ 3 seen i