A Brief Review on Korsakoff Syndrome

Authors

  • Lakshmi Himaja Bandaru Department of Pharmacy Practice, GIET School of Pharmacy, Rajahmundry, Andhra Pradesh, India.

DOI:

https://doi.org/10.61427/jcpr.v4.i2.2024.133

Keywords:

Amnesia, Korsakoff Syndrome, Thiamine

Abstract

Korsakoff Syndrome (KS) is a residual syndrome which is characterized with neuropsychological conditions affecting the daily life of chronic drinkers of alcohol. Sergei Korsakoff is a Russian neuropsychiatrist, in the year 1887 given a note on the Korsakoff syndrome which is characterized by an extraordinary peculiar amnesia which has been associated with peripheral inflammation of the nerves. This syndrome can be chronic in onset and remains permanent. The person suffering with KS can be observed with cognitive and behavioral dysfunction. The symptoms of amnesia, executive dysfunction, confabulation, apathy and social-cognitive impairments can be observed in these affected patients. In the aspect of the pharmacological treatment of KS sufficient concentration of thiamine should be administered parenterally. In alcoholic patients, the doses of thiamine can be administered approximately 500mg or above but the evidence in this aspect is less available. Compared to the pharmacological therapy, the rehabilitation programme can be more helpful to the patients with KS. Among six studies, evidence was produced that some of the techniques which can be helpful for the compensation of memory can include use of agendas, memory cards, gadgets like mobiles and smart watches can be helpful in the patients with KS. For the better improvement of the cognition, interventions associated with errorless learning can be possible theoretically. In this learning process the patients are not permitted to make any errors. This may also support the semantic learning process.

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References

Nicolaas JM Arts, Serge JW Walvoort et al. Korsakoff’s syndrome: A critical review. Neuropsychiatr Dis Treat. 2017; 13: 2875–90.

Victor M, Adams R, Collins G, Eds: The Wernicke-Korsakoff syndrome and related neurologic disorders due to alcoholism and malnutrition. Philadelphia: FA Davis. 1989; 3:142–5.

Delay J, Brion S. Le Syndrome de Korsakoff. Paris: Masson; 1969.

Fama R, Pitel AL, Sullivan EV. Anterograde episodic memory in Korsakoff syndrome. Neuropsychol Rev. 2012; 22(2): 93–104.

Wijnia JW, van de Wetering BJ, Zwart E, Nieuwenhuis KG, Goossensen MA. Evolution of Wernicke-Korsakoff syndrome in self-neglecting alcoholics: Preliminary results of relation with Wernicke-delirium and diabetes mellitus. Am J. Addict. 2012; 21:104–10.

Hershkowitz E, Reshef A, Munich O, Yosefi B, Markel A. Thiamine deficiency in self-induced refeeding syndrome, an undetected and potentially lethal condition. Case Rep Med. 2014; 605707.

Elie Isenberg-Grzeda MD, Haley E, Kutner MA, Stephen E, Nicolson MD. Wernicke-Korsakoff-Syndrome: Under-Recognized and Under-Treated. Psychosomatics. 2012; 53: 507–16.

Torvik A: Wernicke’s encephalopathy—prevalence and clinical spectrum. Alcohol Alcohol (Suppl) 1991; 1:381–4.

Torvik A, Lindboe CF, Rogde S: Brain lesions in alcoholics. A neuropathological study with clinical correlations. J Neurol Sci. 1982; 56(2–3):233–48.

Lishman WA: Cerebral disorder in alcoholism: syndromes of impairment. Brain. 1981; 104(Pt 1):1–20.

Michael D, Kopelman, Allan D, Thomson, et al. The Korsakoff Syndrome: Clinical Aspects, Psychology and Treatment. Alcohol & Alcoholism. 2009; 44(2): 148–54.

Cullen KM, Halliday GM, Caine D, Kril JJ. The nucleus basalis (Ch4) in the alcoholic Wernicke-Korsakoff syndrome: reduced cell number in both amnesic and non-amnesic patients. J Neurol Neurosurg Psychiatry. 1997; 63(3):315–20.

Baker KG, Halliday GM, Harper CG. Effect of chronic alcohol consumption on the human locus coeruleus. Alcohol Clin Exp Res. 1994; 18(6):1491–6.

Sharp CS, Wilson MP, Nordstrom K. Psychiatric emergencies for clinicians: Emergency department management of wernicke-korsakoff syndrome. J Emerg Med. 2016; 51:401–4.

Arts NJ, Walvoort SJ, Kessels RP. Korsakoff's syndrome: A critical review. Neuropsychiatr Dis Treat. 2017; 13:2875–90.

Pitel AL, Chételat G, Le Berre AP, Desgranges B, Eustache F, Beaunieux H. Macrostructural abnormalities in Korsakoff syndrome compared with uncomplicated alcoholism. Neurology. 2012; 78(17): 1330–3.

Le Berre AP, Pitel AL, Chanraud S, et al. Chronic alcohol consumption and its effect on nodes of frontocerebellar and limbic circuitry: comparison of effects in France and the United States. Hum Brain Mapp. 2014; 35(9):4635–53.

Nikolakaros G, Ilonen T, Kurki T, Paju J, Papageorgiou SG, Vataja R. Non-alcoholic Korsakoff syndrome in psychiatric patients with a history of undiagnosed Wernicke’s encephalopathy. J Neurol Sci. 2016; 370:296–302.

Gasquoine PG. A case of bariatric surgery-related Wernicke–Korsakoff syndrome with persisting anterograde amnesia. Arch Clin Neuropsychol. 2017; 32(5):610–7.

Palm A, Vataja R, Talaslahti T, Ginters M, Kautiainen H, Elonheimo H, Suvisaari J, Lindberg N, Koponen H. Incidence and mortality of alcohol-related dementia and Wernicke-Korsakoff syndrome: A nationwide register study. Int. J. Geriatr. Psychiatry 2022; 37: e5775.

Pruckner N, Baumgartner J, Hinterbuchinger B, Glahn A, Vyssoki S, Vyssoki B. Thiamine substitution in alcohol use disorder: A narrative review of medical guidelines. Eur Addict Res. 2019; 25, 103–10.

Praharaj SK, Munoli RN, Shenoy S, Udupa ST, Thomas LS. High-dose thiamine strategy in Wernicke-Korsakoff syndrome and related thiamine deficiency conditions associated with alcohol use disorder. Indian J Psychiatry. 2021; 63: 121–6.

Thomson AD, Guerrini I, Marshall EJ. The evolution and treatment of Korsakoff's syndrome: Out of sight, out of mind? Neuropsychol Rev. 2012; 22:81–92.

Galvin R, Brathen G, Ivashynka A, Hillbom M, Tanasescu R, Leone MA, EFNS guidelines for diagnosis, therapy and prevention of Wernicke encephalopathy. Eur J Neurol. 2010; 17:1408–18.

Dingwall KM, Delima JF, Gent D, Batey RG, Hypomagnesaemia and its potential impact on thiamine utilisation in patients with alcohol misuse at the Alice Springs Hospital. Drug Alcohol Rev. 2015; 34: 323–8.

Parrish CR, Thomson AD, Guerrini I, Marshall EJ. Nutrition Issues in Gastroenterology: Series #75. Wernicke’s Encephalopathy: Role of Thiamine. Practical Gastroenterology. 2009.

Schrader M, Bamborschke S, Lenk U, Sterr A. Case report: Intensive inpatient neurorehabilitation achieves sustained real-world benefits in severe alcohol-related Wernicke-Korsakoff syndrome: A case study with 7-years follow-up. Front. Psychol. 2021; 12: 693920.

Oudman E, Nijboer TCW, Postma A, Wijnia JW, Van der Stigchel S. Procedural learning and memory rehabilitation in Korsakoff’s syndrome – a review of the Literature. Neuropsychol Rev. 2015; 25(2):134–48.

Published

2024-04-27
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How to Cite

Bandaru, L. H. . “A Brief Review on Korsakoff Syndrome”. Journal of Clinical and Pharmaceutical Research, vol. 4, no. 2, Apr. 2024, pp. 7-10, doi:10.61427/jcpr.v4.i2.2024.133.

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Review Articles