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Discussion of Alcoholism
Re: (diagnosis and treatment)
Posted By: Lawren VandeVrede In Response To: Re: alcohol induced dementia (Marlowe)
Date: Friday, 19 November 2004, at 8:43 a.m.
Below is the Merck manual discussion of Korsakoff psychosis:
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Symptoms and signs include highly characteristic memory defects. Immediate memory is severely affected, but memory of distant events may be less so; thus, the patient's previous experience can guide his actions and responses so that there may be little apparent intellectual loss. Memory of events after the onset of the disorder--and often, for unknown reasons, for weeks or months before it--is severely or totally disturbed; disorientation to time is inevitable. Confabulation is often a striking early feature, associated with the defect in recent memory, but is less apparent in more chronic cases. The bewildered patient substitutes imaginary or confused fabrications for those he cannot recall and may be so convincing that the physician is deceived into thinking that the patient's mental state is normal. Emotional changes usually develop; they include apathy, blandness, or mild euphoria with little or no response to events, even frightening ones.The course, which reflects the underlying cause, is often transient. The prognosis is fairly good for patients with head injury and/or subarachnoid hemorrhage. For those with thiamine deficiency, acute necrotic encephalitis, or other conditions in which hippocampal or diencephalic destruction is irreversible, the prognosis is poor, and prolonged institutional care may be required. However, improvement may occur for as long as 12 to 24 mo after onset, and the patient should not be prematurely institutionalized.
Early treatment includes attention to the thiamine deficiency and adequate hydration. When prolonged fluid therapy is required, special attention must be given to vitamin and caloric requirements. No specific treatment is helpful.
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(End Merck)
Additionally, Memantine may possibly help in Wernicke-Korsakoff psychosis. Consult your physician as EARLY AS POSSIBLE. Do not allow your loved ones to continue on this path. Alcoholism is a disease. Intervene now.
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