All are feature of Wernicke’s encephalopathy,Except:
Correct Answer: Cogwheel rigidity
Description: Ans. is 'a' Cogwheel rigidity (Ref Harrison, 16/e, p 1636 (15/e, p 2496)).Wernicke's disease is seen in Alcoholic* patients with chronic thiamine deficiency*.The characteristic clinical trial is that of:Global confusionOphthalmoplegia Ataxia Mnemonic: GOAOther ocular motor abnormalities include:horizontal nystagmus on lateral gaze,conjugate gaze palsies*rarely ptosis*Pupil are usually spared but they may become miotic.When there is an additional loss of memory and a confabulatory psychosis, the syndrome is known as Wernicke- Korsakoff syndrome *.
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