SlideShare une entreprise Scribd logo
1  sur  39
Télécharger pour lire hors ligne
Case Presentation
    Update on controversies and research



          Alex Mitchell  Nasser Abdelmawla


alex.mitchell@leicspart.nhs.uk
alex.mitchell@leicspart.nhs.uk         Neuropsychiatry Meeting 23 August 2005
                                       Neuropsychiatry Meeting 23 August 2005
• History
   Did Wernicke and Korsakoff recognise both presentations?


• Clinical Features
   Is there a characteristic triad to Wernicke’s syndrome?
   Is amnesia focal in Korsakoff’s syndrome?


• Pathology  Pathophysiology
   Where is the lesion?
   What is the role of direct alcohol neurotoxicity?


• Treatment
   Is treatment entirely symptomatic?
LPT05 - Treatment of Wernicke-Korsakoff Syndrome (Aug 2005)
LPT05 - Treatment of Wernicke-Korsakoff Syndrome (Aug 2005)
LPT05 - Treatment of Wernicke-Korsakoff Syndrome (Aug 2005)
LPT05 - Treatment of Wernicke-Korsakoff Syndrome (Aug 2005)
LPT05 - Treatment of Wernicke-Korsakoff Syndrome (Aug 2005)
LPT05 - Treatment of Wernicke-Korsakoff Syndrome (Aug 2005)
LPT05 - Treatment of Wernicke-Korsakoff Syndrome (Aug 2005)
LPT05 - Treatment of Wernicke-Korsakoff Syndrome (Aug 2005)
LPT05 - Treatment of Wernicke-Korsakoff Syndrome (Aug 2005)
LPT05 - Treatment of Wernicke-Korsakoff Syndrome (Aug 2005)
LPT05 - Treatment of Wernicke-Korsakoff Syndrome (Aug 2005)
LPT05 - Treatment of Wernicke-Korsakoff Syndrome (Aug 2005)
LPT05 - Treatment of Wernicke-Korsakoff Syndrome (Aug 2005)
LPT05 - Treatment of Wernicke-Korsakoff Syndrome (Aug 2005)
LPT05 - Treatment of Wernicke-Korsakoff Syndrome (Aug 2005)
LPT05 - Treatment of Wernicke-Korsakoff Syndrome (Aug 2005)
LPT05 - Treatment of Wernicke-Korsakoff Syndrome (Aug 2005)
LPT05 - Treatment of Wernicke-Korsakoff Syndrome (Aug 2005)
LPT05 - Treatment of Wernicke-Korsakoff Syndrome (Aug 2005)
LPT05 - Treatment of Wernicke-Korsakoff Syndrome (Aug 2005)
LPT05 - Treatment of Wernicke-Korsakoff Syndrome (Aug 2005)
LPT05 - Treatment of Wernicke-Korsakoff Syndrome (Aug 2005)
LPT05 - Treatment of Wernicke-Korsakoff Syndrome (Aug 2005)
LPT05 - Treatment of Wernicke-Korsakoff Syndrome (Aug 2005)
LPT05 - Treatment of Wernicke-Korsakoff Syndrome (Aug 2005)
LPT05 - Treatment of Wernicke-Korsakoff Syndrome (Aug 2005)
LPT05 - Treatment of Wernicke-Korsakoff Syndrome (Aug 2005)
LPT05 - Treatment of Wernicke-Korsakoff Syndrome (Aug 2005)
LPT05 - Treatment of Wernicke-Korsakoff Syndrome (Aug 2005)
LPT05 - Treatment of Wernicke-Korsakoff Syndrome (Aug 2005)
LPT05 - Treatment of Wernicke-Korsakoff Syndrome (Aug 2005)
LPT05 - Treatment of Wernicke-Korsakoff Syndrome (Aug 2005)
LPT05 - Treatment of Wernicke-Korsakoff Syndrome (Aug 2005)
LPT05 - Treatment of Wernicke-Korsakoff Syndrome (Aug 2005)
LPT05 - Treatment of Wernicke-Korsakoff Syndrome (Aug 2005)
LPT05 - Treatment of Wernicke-Korsakoff Syndrome (Aug 2005)
LPT05 - Treatment of Wernicke-Korsakoff Syndrome (Aug 2005)

Contenu connexe

Tendances

Approach to stupor and coma
Approach to stupor and comaApproach to stupor and coma
Approach to stupor and comaSachin Adukia
 
Management of Tremor
Management of Tremor Management of Tremor
Management of Tremor PS Deb
 
Neurologic manifestations of alcoholism By Adetunji T.A.
Neurologic manifestations of alcoholism  By Adetunji T.A.Neurologic manifestations of alcoholism  By Adetunji T.A.
Neurologic manifestations of alcoholism By Adetunji T.A.Adetunji Adesegun
 
Wernicke’s encephalopathy
Wernicke’s encephalopathyWernicke’s encephalopathy
Wernicke’s encephalopathyShyala Chand
 
Spinalshock 151204153237-lva1-app6891
Spinalshock 151204153237-lva1-app6891Spinalshock 151204153237-lva1-app6891
Spinalshock 151204153237-lva1-app6891Indhu Reddy
 
Frontal Lobe Syndromes [2014]
Frontal Lobe Syndromes [2014]Frontal Lobe Syndromes [2014]
Frontal Lobe Syndromes [2014]Zahiruddin Othman
 
Wernicke –korsahoff syndrome
Wernicke –korsahoff syndromeWernicke –korsahoff syndrome
Wernicke –korsahoff syndromemohammedhazazi
 
Vertigo
VertigoVertigo
Vertigotbf413
 
Hemorrhagic vs. Ischemic Stroke Prognosis_TPostrel
Hemorrhagic vs. Ischemic Stroke Prognosis_TPostrelHemorrhagic vs. Ischemic Stroke Prognosis_TPostrel
Hemorrhagic vs. Ischemic Stroke Prognosis_TPostrelTina Postrel
 
Neurological Examination
Neurological Examination Neurological Examination
Neurological Examination Richard Brown
 
Acute confusional state
Acute confusional stateAcute confusional state
Acute confusional stateNeurologyKota
 
Parkinsonism Hyperpyrexia Syndrome and Dyskinesia Hyperpyrexia Syndrome
Parkinsonism Hyperpyrexia Syndrome and Dyskinesia Hyperpyrexia SyndromeParkinsonism Hyperpyrexia Syndrome and Dyskinesia Hyperpyrexia Syndrome
Parkinsonism Hyperpyrexia Syndrome and Dyskinesia Hyperpyrexia SyndromeAde Wijaya
 
Posterior circulation stroke Syndromes
Posterior circulation stroke SyndromesPosterior circulation stroke Syndromes
Posterior circulation stroke SyndromesKarthik Raghavan
 
Wernicke’s encephalopathy
Wernicke’s encephalopathyWernicke’s encephalopathy
Wernicke’s encephalopathyAmiteshwar Singh
 
Electrocardiographic Changes in Acute Stroke
Electrocardiographic Changes in Acute StrokeElectrocardiographic Changes in Acute Stroke
Electrocardiographic Changes in Acute StrokeAde Wijaya
 

Tendances (20)

Approach to stupor and coma
Approach to stupor and comaApproach to stupor and coma
Approach to stupor and coma
 
Management of Tremor
Management of Tremor Management of Tremor
Management of Tremor
 
Neurologic manifestations of alcoholism By Adetunji T.A.
Neurologic manifestations of alcoholism  By Adetunji T.A.Neurologic manifestations of alcoholism  By Adetunji T.A.
Neurologic manifestations of alcoholism By Adetunji T.A.
 
Wernicke’s encephalopathy
Wernicke’s encephalopathyWernicke’s encephalopathy
Wernicke’s encephalopathy
 
Spinalshock 151204153237-lva1-app6891
Spinalshock 151204153237-lva1-app6891Spinalshock 151204153237-lva1-app6891
Spinalshock 151204153237-lva1-app6891
 
Frontal Lobe Syndromes [2014]
Frontal Lobe Syndromes [2014]Frontal Lobe Syndromes [2014]
Frontal Lobe Syndromes [2014]
 
Neurology
NeurologyNeurology
Neurology
 
Wernicke –korsahoff syndrome
Wernicke –korsahoff syndromeWernicke –korsahoff syndrome
Wernicke –korsahoff syndrome
 
Vertigo
VertigoVertigo
Vertigo
 
Hemorrhagic vs. Ischemic Stroke Prognosis_TPostrel
Hemorrhagic vs. Ischemic Stroke Prognosis_TPostrelHemorrhagic vs. Ischemic Stroke Prognosis_TPostrel
Hemorrhagic vs. Ischemic Stroke Prognosis_TPostrel
 
ECG: Hypokalemia
ECG: HypokalemiaECG: Hypokalemia
ECG: Hypokalemia
 
Pseudoseizure
PseudoseizurePseudoseizure
Pseudoseizure
 
Neurological Examination
Neurological Examination Neurological Examination
Neurological Examination
 
Acute confusional state
Acute confusional stateAcute confusional state
Acute confusional state
 
Brain stem syndromes
Brain stem syndromesBrain stem syndromes
Brain stem syndromes
 
Schizoaffective
SchizoaffectiveSchizoaffective
Schizoaffective
 
Parkinsonism Hyperpyrexia Syndrome and Dyskinesia Hyperpyrexia Syndrome
Parkinsonism Hyperpyrexia Syndrome and Dyskinesia Hyperpyrexia SyndromeParkinsonism Hyperpyrexia Syndrome and Dyskinesia Hyperpyrexia Syndrome
Parkinsonism Hyperpyrexia Syndrome and Dyskinesia Hyperpyrexia Syndrome
 
Posterior circulation stroke Syndromes
Posterior circulation stroke SyndromesPosterior circulation stroke Syndromes
Posterior circulation stroke Syndromes
 
Wernicke’s encephalopathy
Wernicke’s encephalopathyWernicke’s encephalopathy
Wernicke’s encephalopathy
 
Electrocardiographic Changes in Acute Stroke
Electrocardiographic Changes in Acute StrokeElectrocardiographic Changes in Acute Stroke
Electrocardiographic Changes in Acute Stroke
 

En vedette

Korsakoff’s syndrome (korsakoff’s psychosis)
Korsakoff’s syndrome (korsakoff’s psychosis)Korsakoff’s syndrome (korsakoff’s psychosis)
Korsakoff’s syndrome (korsakoff’s psychosis)Nursing Path
 
Wernicke Korsakoff
Wernicke KorsakoffWernicke Korsakoff
Wernicke Korsakoffkattillac
 
Alcoholism and wernicke korsakoff syndrome treatment
Alcoholism and wernicke korsakoff syndrome treatmentAlcoholism and wernicke korsakoff syndrome treatment
Alcoholism and wernicke korsakoff syndrome treatmentkevinnsmiith
 
Dementia syndromes associated with the consumption of alcohol and alcoholic d...
Dementia syndromes associated with the consumption of alcohol and alcoholic d...Dementia syndromes associated with the consumption of alcohol and alcoholic d...
Dementia syndromes associated with the consumption of alcohol and alcoholic d...angela_arciniegas
 
Understanding Mechanisms of Behavior Change
Understanding Mechanisms of Behavior ChangeUnderstanding Mechanisms of Behavior Change
Understanding Mechanisms of Behavior ChangeCenter on Addiction
 
DR. BHARAT BHUSHAN (DM-NEUROLOGY) ASSOCIATE PROFESSOR GOVERNMENT MEDICAL CO...
DR. BHARAT BHUSHAN 	(DM-NEUROLOGY) ASSOCIATE PROFESSOR  GOVERNMENT MEDICAL CO...DR. BHARAT BHUSHAN 	(DM-NEUROLOGY) ASSOCIATE PROFESSOR  GOVERNMENT MEDICAL CO...
DR. BHARAT BHUSHAN (DM-NEUROLOGY) ASSOCIATE PROFESSOR GOVERNMENT MEDICAL CO...Bharat Bhushan
 
Cerebelo y efectos del alcohol paulo 2014
Cerebelo y efectos del alcohol paulo 2014Cerebelo y efectos del alcohol paulo 2014
Cerebelo y efectos del alcohol paulo 2014Paulo Portugal
 
Thiamine (vitamin b1) and riboflavin (vitamin b2) actions as co-enzyme
Thiamine (vitamin b1) and riboflavin (vitamin b2) actions as co-enzymeThiamine (vitamin b1) and riboflavin (vitamin b2) actions as co-enzyme
Thiamine (vitamin b1) and riboflavin (vitamin b2) actions as co-enzymeautumnpianist
 
Ppt on alcohol in neurology
Ppt on alcohol in neurologyPpt on alcohol in neurology
Ppt on alcohol in neurologySachin Adukia
 
El encefalo, sus partes y funciones
El encefalo, sus partes y funcionesEl encefalo, sus partes y funciones
El encefalo, sus partes y funcionesJennifer R. Aguinaga
 

En vedette (13)

Korsakoff’s syndrome (korsakoff’s psychosis)
Korsakoff’s syndrome (korsakoff’s psychosis)Korsakoff’s syndrome (korsakoff’s psychosis)
Korsakoff’s syndrome (korsakoff’s psychosis)
 
Wernicke encephalopathy
Wernicke encephalopathyWernicke encephalopathy
Wernicke encephalopathy
 
Wernicke Korsakoff
Wernicke KorsakoffWernicke Korsakoff
Wernicke Korsakoff
 
Alcoholism and wernicke korsakoff syndrome treatment
Alcoholism and wernicke korsakoff syndrome treatmentAlcoholism and wernicke korsakoff syndrome treatment
Alcoholism and wernicke korsakoff syndrome treatment
 
Dementia syndromes associated with the consumption of alcohol and alcoholic d...
Dementia syndromes associated with the consumption of alcohol and alcoholic d...Dementia syndromes associated with the consumption of alcohol and alcoholic d...
Dementia syndromes associated with the consumption of alcohol and alcoholic d...
 
Understanding Mechanisms of Behavior Change
Understanding Mechanisms of Behavior ChangeUnderstanding Mechanisms of Behavior Change
Understanding Mechanisms of Behavior Change
 
DR. BHARAT BHUSHAN (DM-NEUROLOGY) ASSOCIATE PROFESSOR GOVERNMENT MEDICAL CO...
DR. BHARAT BHUSHAN 	(DM-NEUROLOGY) ASSOCIATE PROFESSOR  GOVERNMENT MEDICAL CO...DR. BHARAT BHUSHAN 	(DM-NEUROLOGY) ASSOCIATE PROFESSOR  GOVERNMENT MEDICAL CO...
DR. BHARAT BHUSHAN (DM-NEUROLOGY) ASSOCIATE PROFESSOR GOVERNMENT MEDICAL CO...
 
Imagenes de cerebro cerebelo y medula espinal
Imagenes de cerebro cerebelo y medula espinalImagenes de cerebro cerebelo y medula espinal
Imagenes de cerebro cerebelo y medula espinal
 
Cerebelo y efectos del alcohol paulo 2014
Cerebelo y efectos del alcohol paulo 2014Cerebelo y efectos del alcohol paulo 2014
Cerebelo y efectos del alcohol paulo 2014
 
Thiamine (vitamin b1) and riboflavin (vitamin b2) actions as co-enzyme
Thiamine (vitamin b1) and riboflavin (vitamin b2) actions as co-enzymeThiamine (vitamin b1) and riboflavin (vitamin b2) actions as co-enzyme
Thiamine (vitamin b1) and riboflavin (vitamin b2) actions as co-enzyme
 
Ppt on alcohol in neurology
Ppt on alcohol in neurologyPpt on alcohol in neurology
Ppt on alcohol in neurology
 
epidemiology.ppt22
epidemiology.ppt22epidemiology.ppt22
epidemiology.ppt22
 
El encefalo, sus partes y funciones
El encefalo, sus partes y funcionesEl encefalo, sus partes y funciones
El encefalo, sus partes y funciones
 

Plus de Alex J Mitchell

IPOS - Receipt of Psyccare-alex_j_mitchell_rotterdam
IPOS - Receipt of Psyccare-alex_j_mitchell_rotterdamIPOS - Receipt of Psyccare-alex_j_mitchell_rotterdam
IPOS - Receipt of Psyccare-alex_j_mitchell_rotterdamAlex J Mitchell
 
15th IPOS - Introducing CancerStories in Rotterdam, NL (Nov2013)
15th IPOS - Introducing CancerStories in Rotterdam, NL (Nov2013)15th IPOS - Introducing CancerStories in Rotterdam, NL (Nov2013)
15th IPOS - Introducing CancerStories in Rotterdam, NL (Nov2013)Alex J Mitchell
 
15th IPOS Debate on Screening for Distress by alex_j_mitchell in Rotterdam (N...
15th IPOS Debate on Screening for Distress by alex_j_mitchell in Rotterdam (N...15th IPOS Debate on Screening for Distress by alex_j_mitchell in Rotterdam (N...
15th IPOS Debate on Screening for Distress by alex_j_mitchell in Rotterdam (N...Alex J Mitchell
 
50 slides on Physical health Mental health Comorbidity (ajmitchell Nov2012))
50 slides on Physical health Mental health Comorbidity (ajmitchell Nov2012))50 slides on Physical health Mental health Comorbidity (ajmitchell Nov2012))
50 slides on Physical health Mental health Comorbidity (ajmitchell Nov2012))Alex J Mitchell
 
Alex J Mitchell Alcohol Detection by Clinician (Aug2012)
Alex J Mitchell Alcohol Detection by Clinician (Aug2012)Alex J Mitchell Alcohol Detection by Clinician (Aug2012)
Alex J Mitchell Alcohol Detection by Clinician (Aug2012)Alex J Mitchell
 
Top 10 Fastest Time trial Bikes of 2012
Top 10 Fastest Time trial Bikes of 2012Top 10 Fastest Time trial Bikes of 2012
Top 10 Fastest Time trial Bikes of 2012Alex J Mitchell
 
Illustration of Mental Health Clustering Calculator ajmitchell
Illustration of Mental Health Clustering Calculator ajmitchellIllustration of Mental Health Clustering Calculator ajmitchell
Illustration of Mental Health Clustering Calculator ajmitchellAlex J Mitchell
 
Weight diabetes and metabolic problems in patients taking atypical antipsycho...
Weight diabetes and metabolic problems in patients taking atypical antipsycho...Weight diabetes and metabolic problems in patients taking atypical antipsycho...
Weight diabetes and metabolic problems in patients taking atypical antipsycho...Alex J Mitchell
 
Tour of Britain London Stage (Sept11)
Tour of Britain London Stage (Sept11)Tour of Britain London Stage (Sept11)
Tour of Britain London Stage (Sept11)Alex J Mitchell
 
POCOG - The Future of Psycho-Oncology (Aug 2011)
POCOG - The Future of Psycho-Oncology (Aug 2011)POCOG - The Future of Psycho-Oncology (Aug 2011)
POCOG - The Future of Psycho-Oncology (Aug 2011)Alex J Mitchell
 
Suicide and desire for hastened death (edit)
Suicide and desire for hastened death (edit)Suicide and desire for hastened death (edit)
Suicide and desire for hastened death (edit)Alex J Mitchell
 
Combined PHQ9 and GAD7 (17 items)
Combined PHQ9 and GAD7 (17 items)Combined PHQ9 and GAD7 (17 items)
Combined PHQ9 and GAD7 (17 items)Alex J Mitchell
 
Psychological aspects of cancer care for students 2011 (Apr11)
Psychological aspects of cancer care for students 2011 (Apr11)Psychological aspects of cancer care for students 2011 (Apr11)
Psychological aspects of cancer care for students 2011 (Apr11)Alex J Mitchell
 
[ppt] RCpsych - Failing medical care of psychiatric patients (vMar11)
[ppt] RCpsych - Failing medical care of psychiatric patients (vMar11)[ppt] RCpsych - Failing medical care of psychiatric patients (vMar11)
[ppt] RCpsych - Failing medical care of psychiatric patients (vMar11)Alex J Mitchell
 
Rcpsych Workshop - Depression in medical settings (Mar11)
Rcpsych Workshop - Depression in medical settings (Mar11)Rcpsych Workshop - Depression in medical settings (Mar11)
Rcpsych Workshop - Depression in medical settings (Mar11)Alex J Mitchell
 
The Ant and the Lion - A Parody of NHS management
The Ant and the Lion - A Parody of NHS managementThe Ant and the Lion - A Parody of NHS management
The Ant and the Lion - A Parody of NHS managementAlex J Mitchell
 
COH Online- The future of screening for distress in cancer settings (February11)
COH Online- The future of screening for distress in cancer settings (February11)COH Online- The future of screening for distress in cancer settings (February11)
COH Online- The future of screening for distress in cancer settings (February11)Alex J Mitchell
 
Top 100 Most Cited People in Psychiatry (Mental Health) (Jan 2011) [aka Top 1...
Top 100 Most Cited People in Psychiatry (Mental Health) (Jan 2011) [aka Top 1...Top 100 Most Cited People in Psychiatry (Mental Health) (Jan 2011) [aka Top 1...
Top 100 Most Cited People in Psychiatry (Mental Health) (Jan 2011) [aka Top 1...Alex J Mitchell
 
Top 100 Papers & People in Psychiatry (Jan2011)
Top 100 Papers & People in Psychiatry (Jan2011)Top 100 Papers & People in Psychiatry (Jan2011)
Top 100 Papers & People in Psychiatry (Jan2011)Alex J Mitchell
 
Organizational chart of NHS staffing ratios 1999-2009
Organizational chart of NHS staffing ratios 1999-2009Organizational chart of NHS staffing ratios 1999-2009
Organizational chart of NHS staffing ratios 1999-2009Alex J Mitchell
 

Plus de Alex J Mitchell (20)

IPOS - Receipt of Psyccare-alex_j_mitchell_rotterdam
IPOS - Receipt of Psyccare-alex_j_mitchell_rotterdamIPOS - Receipt of Psyccare-alex_j_mitchell_rotterdam
IPOS - Receipt of Psyccare-alex_j_mitchell_rotterdam
 
15th IPOS - Introducing CancerStories in Rotterdam, NL (Nov2013)
15th IPOS - Introducing CancerStories in Rotterdam, NL (Nov2013)15th IPOS - Introducing CancerStories in Rotterdam, NL (Nov2013)
15th IPOS - Introducing CancerStories in Rotterdam, NL (Nov2013)
 
15th IPOS Debate on Screening for Distress by alex_j_mitchell in Rotterdam (N...
15th IPOS Debate on Screening for Distress by alex_j_mitchell in Rotterdam (N...15th IPOS Debate on Screening for Distress by alex_j_mitchell in Rotterdam (N...
15th IPOS Debate on Screening for Distress by alex_j_mitchell in Rotterdam (N...
 
50 slides on Physical health Mental health Comorbidity (ajmitchell Nov2012))
50 slides on Physical health Mental health Comorbidity (ajmitchell Nov2012))50 slides on Physical health Mental health Comorbidity (ajmitchell Nov2012))
50 slides on Physical health Mental health Comorbidity (ajmitchell Nov2012))
 
Alex J Mitchell Alcohol Detection by Clinician (Aug2012)
Alex J Mitchell Alcohol Detection by Clinician (Aug2012)Alex J Mitchell Alcohol Detection by Clinician (Aug2012)
Alex J Mitchell Alcohol Detection by Clinician (Aug2012)
 
Top 10 Fastest Time trial Bikes of 2012
Top 10 Fastest Time trial Bikes of 2012Top 10 Fastest Time trial Bikes of 2012
Top 10 Fastest Time trial Bikes of 2012
 
Illustration of Mental Health Clustering Calculator ajmitchell
Illustration of Mental Health Clustering Calculator ajmitchellIllustration of Mental Health Clustering Calculator ajmitchell
Illustration of Mental Health Clustering Calculator ajmitchell
 
Weight diabetes and metabolic problems in patients taking atypical antipsycho...
Weight diabetes and metabolic problems in patients taking atypical antipsycho...Weight diabetes and metabolic problems in patients taking atypical antipsycho...
Weight diabetes and metabolic problems in patients taking atypical antipsycho...
 
Tour of Britain London Stage (Sept11)
Tour of Britain London Stage (Sept11)Tour of Britain London Stage (Sept11)
Tour of Britain London Stage (Sept11)
 
POCOG - The Future of Psycho-Oncology (Aug 2011)
POCOG - The Future of Psycho-Oncology (Aug 2011)POCOG - The Future of Psycho-Oncology (Aug 2011)
POCOG - The Future of Psycho-Oncology (Aug 2011)
 
Suicide and desire for hastened death (edit)
Suicide and desire for hastened death (edit)Suicide and desire for hastened death (edit)
Suicide and desire for hastened death (edit)
 
Combined PHQ9 and GAD7 (17 items)
Combined PHQ9 and GAD7 (17 items)Combined PHQ9 and GAD7 (17 items)
Combined PHQ9 and GAD7 (17 items)
 
Psychological aspects of cancer care for students 2011 (Apr11)
Psychological aspects of cancer care for students 2011 (Apr11)Psychological aspects of cancer care for students 2011 (Apr11)
Psychological aspects of cancer care for students 2011 (Apr11)
 
[ppt] RCpsych - Failing medical care of psychiatric patients (vMar11)
[ppt] RCpsych - Failing medical care of psychiatric patients (vMar11)[ppt] RCpsych - Failing medical care of psychiatric patients (vMar11)
[ppt] RCpsych - Failing medical care of psychiatric patients (vMar11)
 
Rcpsych Workshop - Depression in medical settings (Mar11)
Rcpsych Workshop - Depression in medical settings (Mar11)Rcpsych Workshop - Depression in medical settings (Mar11)
Rcpsych Workshop - Depression in medical settings (Mar11)
 
The Ant and the Lion - A Parody of NHS management
The Ant and the Lion - A Parody of NHS managementThe Ant and the Lion - A Parody of NHS management
The Ant and the Lion - A Parody of NHS management
 
COH Online- The future of screening for distress in cancer settings (February11)
COH Online- The future of screening for distress in cancer settings (February11)COH Online- The future of screening for distress in cancer settings (February11)
COH Online- The future of screening for distress in cancer settings (February11)
 
Top 100 Most Cited People in Psychiatry (Mental Health) (Jan 2011) [aka Top 1...
Top 100 Most Cited People in Psychiatry (Mental Health) (Jan 2011) [aka Top 1...Top 100 Most Cited People in Psychiatry (Mental Health) (Jan 2011) [aka Top 1...
Top 100 Most Cited People in Psychiatry (Mental Health) (Jan 2011) [aka Top 1...
 
Top 100 Papers & People in Psychiatry (Jan2011)
Top 100 Papers & People in Psychiatry (Jan2011)Top 100 Papers & People in Psychiatry (Jan2011)
Top 100 Papers & People in Psychiatry (Jan2011)
 
Organizational chart of NHS staffing ratios 1999-2009
Organizational chart of NHS staffing ratios 1999-2009Organizational chart of NHS staffing ratios 1999-2009
Organizational chart of NHS staffing ratios 1999-2009
 

Dernier

Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...narwatsonia7
 
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls JaipurRussian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipurparulsinha
 
Chandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableChandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableDipal Arora
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...Taniya Sharma
 
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...perfect solution
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Servicevidya singh
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...jageshsingh5554
 
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...indiancallgirl4rent
 
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...Arohi Goyal
 
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Dipal Arora
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...vidya singh
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escortsvidya singh
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋TANUJA PANDEY
 
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsGfnyt
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Call Girls in Nagpur High Profile
 

Dernier (20)

Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
 
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls JaipurRussian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
 
Chandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableChandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD available
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
 
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
 
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
 
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
 
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
 
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
 
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
 
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
 

LPT05 - Treatment of Wernicke-Korsakoff Syndrome (Aug 2005)

  • 1. Case Presentation Update on controversies and research Alex Mitchell Nasser Abdelmawla alex.mitchell@leicspart.nhs.uk alex.mitchell@leicspart.nhs.uk Neuropsychiatry Meeting 23 August 2005 Neuropsychiatry Meeting 23 August 2005
  • 2. • History Did Wernicke and Korsakoff recognise both presentations? • Clinical Features Is there a characteristic triad to Wernicke’s syndrome? Is amnesia focal in Korsakoff’s syndrome? • Pathology Pathophysiology Where is the lesion? What is the role of direct alcohol neurotoxicity? • Treatment Is treatment entirely symptomatic?