• 作者：A.J. Chamorro Ferná ; ndez^a ; ^c ; M. Marcos Martí ; n^b ; ^c ; F.J. Laso Guzmá ; n^b ; ^c ; ^laso@usal.es
• 关键词：Encefalopatí ; a de Wernicke ; Alcoholismo ; Dé ; ficit de tiamina
• 刊名：Revista Cl¨ªnica Espa?ola
• 出版年：2011
• 出版时间：October 2011
• 年：2011
• 卷：211
• 期：9
• 页码：458-463
• 全文大小：327 K

A 67-year old male was brought to the hospital by his family because he had been suffering from somnolence, bradypsychia and gait disturbance for one week. He lived alone, reported an ethanol intake higher than 100-120 g/day. His diet was limited in quality and amount. The physical examination showed stigmata of chronic liver disease. The neurological exam revealed right-side cerebellar tremor, bilateral dysmetria and gait ataxia as well as hyporeflexia in the lower limbs. He was diagnosed of Wernicke encephalopathy. How should this patient be evaluated and treated?