a neurological disorder caused by a deficiency of vitamin B
1 (thiamine). The principal symptoms are confusion, oculomotor abnormalities (
gaze palsy and
nystagmus), and ataxia. The disorder is most frequently associated with chronic alcoholism but is also found in cases of pernicious anemia, gastric cancer, and malnutrition. These symptoms are likely to resolve with thiamine treatment, although most individuals then develop severe retrograde and anterograde
amnesia as well as impairment in other areas of cognitive functioning, including executive functions (see
Korsakoff’s syndrome). Also called
cerebral beriberi;
Wernicke’s disease. [first described in 1881 by Karl Wernicke]