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KMID : 0980720070260010043
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Keimyung Medical Journal
2007 Volume.26 No. 1 p.43 ~ p.48
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Effect of Rehabilitation in a man with Wernicke-Korsakoff Syndrome
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Park Gi-Young
Oh Jung-Sup
Lee So-Young
Bae Jung-Ho
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Abstract
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Wernicke-Korsakoff syndrome is frequently diagnosed in alcoholics after an episode of acute thiamine deficiency. The common symptoms include nystagmus, ataxia, and confused mentality. Diagnosis can be obtained from clinical symptoms and MR diffusion weighted image, and treatment achieved by intravenous thiamine administration. However, severe complication can be developed in some cases even though taking of an early diagnosis and treatment. In addition, there has been insufficient rehabilitation approach to the patients with Wernicke-Korsakoff syndrome. We report a case of 40-year-old man with Wernicke-Korsakoff syndrome who was hospitalized with gait difficulty and global apathetic-confusional state. After the diagnosis of Wernicke-Korsakoff syndrome, the patient was treated with intravenous thiamine administration. Nonetheless, the patient showed severe functional limitation with gait difficulty and persisted cognitive dysfunction. With comprehensive rehabilitation program with central nervous system stimulants, however, these symptoms were greatly improved.
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KEYWORD
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Central nervous system stimulants, Rehabiliatation, Wernicke-Korsakoff syndrome
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