Korsakoff's syndrome

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[[Category:Neuropsychological syndromes]]
[[Category:Neuropsychological syndromes]]
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==Overview==
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=== '''Overview''' ===
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Korsakoff's syndrome is a degenerative neurological condition caused by a thiamine (B1) deficiency, which is itself often caused by alcoholism and other forms of malnutrition.
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Korsakoff's syndrome is a degenerative neurological condition caused by a deficiency in thiamine, a result of alcoholism and malnutrition.
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==Symptoms==
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== '''Causes''' ==
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Symptoms of Korsakoff's syndrome include:
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Korsakoff's syndrome, first studied and documented by Korsakoff in the late 1890s, is caused by a deficiency in thiamine (vitamin B-1) from long-term alcohol abuse, and a poor diet often associated with longtime alcoholism.  Korsakoff's disease seems to result from extensive bilateral damage to the frontal lobe and frontal lobe atrophy, as well as damage to the medial thalamus, and bilateral damage to the mamillary bodies.
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-  amnesia (retrograde, anterograde, or both), due to the degeneration of the hippocampus
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-  lack of general interest
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== '''Symptoms''' ==
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The disorder is characterized by three symptomatic features: anterograde [[amnesia]], retrograde [[amnesia]], and confabulation.  Anterograde [[amnesia]] and retrograde [[amnesia]] affect the memories stored in the brain from before and after the disease.  The effects are that Korsakoff's can destroy one's ability to access long-term memory and form new short-term memories. The [[amnesia]] is due to the degeneration of the [[hippocampus]].  Confabulation is the filling-in of memory gaps by Korsakoff's patients in their semantic and episodic memories. 
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Other symptoms can include tremors and/or ataxia (lack of muscle coordination).  Patients with Korsakoff's syndrome often demonstrate other symptoms such as apathy and a lack insight, but their IQ and reasoning seems to be unaffected.
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-  confabulation (details and memories created by a person and taken as true by him/her)
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== '''Treatment and Prognosis''' ==
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While the most severe stages of the condition lead to coma and death, if caught early enough, recovery can be made through the use of intravenous thiamine supplements, and by improving general health and nutrition. The brain damage that occurs during the disease, however, is irreversible.
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-  tremors and/or ataxia (lack of muscle coordination)
 
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==Treatment and Prognosis==
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=== '''Examples''' ===
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While the most severe stages of the condition lead to coma and death, if caught early enough, recovering can be made through the use of intravenous thiamine supplements, and by improving general health and nutrition. The brain damage that occurs during the disease, however, is irreversible.
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[[H.M. (patient)]] is a well-known case of the global amnesia caused by Korsakoff's syndrome.  Patients suffering from [[herpes simplex encephalitis]] may also exhibit Korsakoff's symptoms such as difficulty in memory storage and retrieval.
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==Sources==
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http://www.mtsu.edu/~sschmidt/Cognitive/sts/brain2.jpg
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Wikipedia
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Current revision as of 09:48, 28 April 2008

Contents

Overview

Korsakoff's syndrome is a degenerative neurological condition caused by a deficiency in thiamine, a result of alcoholism and malnutrition.

Causes

Korsakoff's syndrome, first studied and documented by Korsakoff in the late 1890s, is caused by a deficiency in thiamine (vitamin B-1) from long-term alcohol abuse, and a poor diet often associated with longtime alcoholism. Korsakoff's disease seems to result from extensive bilateral damage to the frontal lobe and frontal lobe atrophy, as well as damage to the medial thalamus, and bilateral damage to the mamillary bodies.

Symptoms

The disorder is characterized by three symptomatic features: anterograde amnesia, retrograde amnesia, and confabulation. Anterograde amnesia and retrograde amnesia affect the memories stored in the brain from before and after the disease. The effects are that Korsakoff's can destroy one's ability to access long-term memory and form new short-term memories. The amnesia is due to the degeneration of the hippocampus. Confabulation is the filling-in of memory gaps by Korsakoff's patients in their semantic and episodic memories. Other symptoms can include tremors and/or ataxia (lack of muscle coordination). Patients with Korsakoff's syndrome often demonstrate other symptoms such as apathy and a lack insight, but their IQ and reasoning seems to be unaffected.

Treatment and Prognosis

While the most severe stages of the condition lead to coma and death, if caught early enough, recovery can be made through the use of intravenous thiamine supplements, and by improving general health and nutrition. The brain damage that occurs during the disease, however, is irreversible.


Examples

H.M. (patient) is a well-known case of the global amnesia caused by Korsakoff's syndrome. Patients suffering from herpes simplex encephalitis may also exhibit Korsakoff's symptoms such as difficulty in memory storage and retrieval.

brain2.jpg

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