Irish Journal of Medical Science

, 150:301

Acute Wernickes Encephalopathy precipitated by glucose loading

  • A. J. S. Watson
  • J. F. Walker
  • G. H. Tomkin
  • M. M. R. Finn
  • J. A. B. Keogh
Article

DOI: 10.1007/BF02938260

Cite this article as:
Watson, A.J.S., Walker, J.F., Tomkin, G.H. et al. I.J.M.S. (1981) 150: 301. doi:10.1007/BF02938260

Summary

Four cases of acute Wernickes Encephalopathy in non-alcoholic, malnourished patients are described. In each case the administration of a glucose load precipitated a neurological crisis which was rapidly reversed by the administration of intravenous Thiamine. It is suggested that prophylactic Thiamine treatment therapy should be considered in the management of all malnourished patients.

Copyright information

© Springer-Verlag 1981

Authors and Affiliations

  • A. J. S. Watson
    • 1
  • J. F. Walker
    • 1
  • G. H. Tomkin
    • 1
  • M. M. R. Finn
    • 1
  • J. A. B. Keogh
    • 1
  1. 1.Department of Medicine, Meath HospitalAdelaide Hospital and Trinity CollegeDublin
  2. 2.Meath HospitalDublin 2