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Keimyung Medical Journal 2007;26(1):43-48.
Effect of Rehabilitation in a man with Wernicke-Korsakoff Syndrome
베르니케 코르사코프 증후군 환자에서 재활치료의 효과
박기영; 오정섭; 이소영; 배정호
Abstract
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.
Key Words: Central nervous system stimulants, Rehabiliatation, Wernicke-Korsakoff syndrome
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