All are feature of Wernicke's encephalopathy,Except:: (A) Cogwheel rigidity, (B) Alteration in mental function, (C) 6th nerve palsy, (D) Ataxia
Answer is A. 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 *.