Wernicke’s Encephalopathy


Table of Contents

Clinical features

1. Weakness or paralysis of the 6th cranial nerve resulting in double vision, squint and rapid movements side to side of the eyes.
2. Ataxia-Patient unable to stand or walk without support.
3. Derangement of mental functions-Confusional state, listlessness, inattentiveness, indifference to surroundings, disorientation.
4. Drowsiness.
5. Spontaneous speech is minimal.
6. Amnesia.
7. Peripheral neuropathy-burning sensation in feet.


Deficiency of Thiamin (Vitamin B1). Mostly seen in alcoholics.


This condition is a medical emergency and should be treated in a hospital with injectable Thiamin along with other oral vitamins.

Leave A Reply