What is An alcoholic patient comes to your office, he can not tell his name. There is gross in coordination in walking, and his eyes are deted to one side. What is the probable diagnosis? and explain in detail?
Here there is history of ataxia (in coordination) and ophthalmoplegia. The inability to tell name might be because of confusional state. The likely diagnosis is Wernicke's encephalopathy. Wernicke's, encephalopathy acute Thiamine deficiency G- Global confusion O- Ophthalmoplegia (m/c 6th cranial nerve- abducens) A- Ataxia Rx- High dose of parenteral thiamine