Four Cases of Wernicke's Encephalopathy with Impaired Horizontal Vestibular Ocular Reflexes
10.21790/rvs.2017.16.2.57
- Author:
Hyuk Su JANG
1
;
Byoung Soo SHIN
;
Man Wook SEO
;
Sun Young OH
Author Information
1. Department of Neurology, Chonbuk National University Hospital, Jeonju, Korea. ohsun@jbnu.ac.kr
- Publication Type:Case Report
- Keywords:
Wernicke's encephalopathy;
Vestibulo-ocular reflex;
Ataxia;
Dizziness
- MeSH:
Ataxia;
Brain Diseases;
Dizziness;
Gait Ataxia;
Nervous System Diseases;
Reflex;
Reflex, Vestibulo-Ocular;
Retrospective Studies;
Thiamine;
Wernicke Encephalopathy
- From:Journal of the Korean Balance Society
2017;16(2):57-63
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Wernicke's encephalopathy (WE) is a neurological disorder induced by a dietary vitamin B1 (thiamine) deficiency which is characterized by encephalopathy, gait ataxia, and variant ocular motor dysfunction. In addition to these classical signs of WE, a loss of the horizontal vestibulo-ocular reflex (VOR) is being reported as the major underdiagnosed symptoms in WE. In this retrospective single center study, we report four cases of WE initially presented with impaired horizontal VOR in addition to the classical clinical presentations, and imaging and neurotological laboratory findings were described.