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Wernicke Encephalopathy

VERSION: 1.0 CREATED: January 29, 2026 REVISED: January 29, 2026 STATUS: Approved


DIAGNOSIS: Wernicke Encephalopathy

ICD-10: E51.2 (Wernicke encephalopathy), E51.11 (Dry beriberi), F10.96 (Alcohol use, unspecified with alcohol-induced persisting amnestic disorder)

CPT CODES: 82962 (Fingerstick glucose), 80048 (BMP), 83735 (Magnesium), 84100 (Phosphorus), 85025 (CBC), 80076 (LFTs, albumin), 82140 (Ammonia), 83605 (Lactate), 80320 (Blood alcohol level), 84425 (Thiamine level (whole blood or RBC transketolase)), 84443 (TSH), 80307 (Urine drug screen), 85610 (Coagulation studies (PT/INR)), 70551 (MRI brain with FLAIR/DWI), 70450 (CT head), 95816 (EEG), 62270 (Lumbar puncture), 96374 (Thiamine IV (high-dose) - Suspected/Confirmed WE)

SYNONYMS: Wernicke encephalopathy, WE, Wernicke syndrome, Wernicke-Korsakoff syndrome, WKS, thiamine deficiency encephalopathy, Wernicke-Korsakoff, acute thiamine deficiency, alcohol-related brain damage, nutritional encephalopathy

SCOPE: Diagnosis and treatment of Wernicke encephalopathy in adults including classic and non-alcoholic etiologies. Covers acute treatment, prevention of Korsakoff syndrome, and at-risk populations. Applies primarily to ED, hospital, and ICU settings as this is a medical emergency. Excludes chronic Korsakoff syndrome management.


DEFINITIONS: - Wernicke Encephalopathy (WE): Acute neuropsychiatric syndrome from thiamine (vitamin B1) deficiency; classically presents with triad of encephalopathy, oculomotor dysfunction, and ataxia - Korsakoff Syndrome: Chronic amnestic syndrome (anterograde > retrograde amnesia, confabulation) following untreated or inadequately treated WE - Wernicke-Korsakoff Syndrome (WKS): Combined acute WE with subsequent Korsakoff syndrome - Classic Triad: Mental status changes, oculomotor dysfunction, gait ataxia (only ~10-16% present with all three) - At-Risk Populations: Alcohol use disorder, malnutrition, hyperemesis gravidarum, bariatric surgery, chronic illness, prolonged fasting, refeeding, dialysis, cancer, AIDS


PRIORITY KEY: STAT = Immediate | URGENT = Within hours | ROUTINE = Standard | EXT = Extended/atypical cases | - = Not applicable to this setting


1. LABORATORY WORKUP

1A. Core Labs (Immediate)

Test ED HOSP OPD ICU Rationale Target Finding
Fingerstick glucose (CPT 82962) STAT STAT - STAT Hypoglycemia; DO NOT give dextrose before thiamine Normal; treat hypoglycemia AFTER thiamine
BMP (CPT 80048) STAT STAT - STAT Electrolytes; magnesium essential for thiamine function Correct abnormalities
Magnesium (CPT 83735) STAT STAT - STAT Required cofactor for thiamine; replace if low >2.0 mg/dL
Phosphorus (CPT 84100) STAT STAT - STAT Refeeding syndrome risk >2.5 mg/dL
CBC (CPT 85025) STAT ROUTINE - STAT Macrocytic anemia (alcohol, B12/folate deficiency) Document
LFTs, albumin (CPT 80076) STAT ROUTINE - STAT Hepatic dysfunction; malnutrition Document
Ammonia (CPT 82140) STAT STAT - STAT Hepatic encephalopathy (may coexist) Normal
Lactate (CPT 83605) STAT STAT - STAT Thiamine deficiency causes lactic acidosis Normal
Blood alcohol level (CPT 80320) STAT STAT - - Document; withdrawal risk Document

1B. Extended Labs

Test ED HOSP OPD ICU Rationale Target Finding
Thiamine level (whole blood or RBC transketolase) (CPT 84425) - ROUTINE - ROUTINE Confirms deficiency (do not delay treatment for result) Low (but treat empirically)
Vitamin B12, folate (CPT 82607+82746) - ROUTINE ROUTINE - Often co-deficient in alcohol use Normal; supplement if low
TSH (CPT 84443) - ROUTINE - - Exclude thyroid dysfunction Normal
Urine drug screen (CPT 80307) STAT ROUTINE - - Concomitant intoxication Document
Coagulation studies (PT/INR) (CPT 85610) - ROUTINE - ROUTINE Liver disease; coagulopathy Normal

1C. Specialized Labs (If Diagnosis Uncertain)

Test ED HOSP OPD ICU Rationale Target Finding
RBC transketolase activity - EXT EXT - Functional thiamine status; low in deficiency Low activity
Thiamine pyrophosphate (TPP) effect - EXT EXT - >25% increase suggests deficiency Normal
CSF analysis - EXT - - If meningitis suspected; usually normal in WE Normal; mild protein elevation possible

2. DIAGNOSTIC IMAGING & STUDIES

2A. Neuroimaging

Study ED HOSP OPD ICU Timing Target Finding Contraindications
MRI brain with FLAIR/DWI (CPT 70551) - URGENT - URGENT After stabilization; supports diagnosis Bilateral symmetric T2/FLAIR hyperintensity in medial thalami, mammillary bodies, periaqueductal gray, tectal plate Pacemaker, metal
CT head (CPT 70450) STAT STAT - STAT Exclude other causes (hemorrhage, mass); often normal in WE No mass, hemorrhage None

2B. MRI Findings in Wernicke Encephalopathy

Location Sensitivity Notes
Medial thalami (bilateral) High Most specific finding
Mammillary bodies High Atrophy in chronic cases
Periaqueductal gray High Classic location
Tectal plate Moderate Around cerebral aqueduct
Dorsal medulla Moderate Vagal nuclei area
Cerebellum (vermis) Low-Moderate Ataxia correlate
Cortex (atypical) Low Non-alcoholic WE may show cortical involvement

2C. Additional Studies

Study ED HOSP OPD ICU Timing Target Finding Contraindications
EEG (CPT 95816) - ROUTINE - ROUTINE If seizure suspected or encephalopathy unclear Diffuse slowing (non-specific) None
Lumbar puncture (CPT 62270) - EXT - EXT If meningitis or encephalitis suspected Normal; r/o infection Mass lesion

3. TREATMENT

3A. Acute Thiamine Replacement (CRITICAL - Do Not Delay)

Treatment Route Indication Dosing Contraindications Monitoring ED HOSP OPD ICU
Thiamine IV (high-dose) - Suspected/Confirmed WE (CPT 96374) IV - 500 mg :: IV :: TID :: 500 mg IV TID × 3-5 days (in 100 mL NS over 30 min); then 250 mg IV daily × 3-5 days; then oral Rare anaphylaxis (give slowly) Anaphylaxis (rare); clinical response STAT STAT - STAT
Thiamine IV (prophylaxis - at-risk patients) (CPT 96374) IV - 200-500 mg :: IV :: TID :: 200-500 mg IV TID × 3 days; then oral Same Same STAT STAT - STAT

3B. Maintenance Thiamine

Treatment Route Indication Dosing Contraindications Monitoring ED HOSP OPD ICU
Thiamine oral (after IV course) IV - 100 mg :: PO :: TID :: 100 mg TID × weeks to months; indefinitely if ongoing risk None Compliance; symptoms - ROUTINE ROUTINE -
Thiamine IM (if IV not possible, unreliable oral) IM - 250 mg :: IM :: daily :: 250 mg IM daily × 3-5 days Coagulopathy (relative) Clinical response STAT ROUTINE ROUTINE -

3C. Electrolyte Replacement

Treatment Route Indication Dosing Contraindications Monitoring ED HOSP OPD ICU
Magnesium sulfate IV (CPT 96374) IV - 1-2 g :: IV :: - :: 1-2 g IV over 1-2 hours; repeat as needed; target Mg >2.0 Renal failure (adjust dose); heart block Mg levels; reflexes STAT STAT - STAT
Potassium replacement - - N/A :: - :: per protocol :: Per deficit; often needed with Mg Renal failure; hyperkalemia K+ levels STAT STAT - STAT
Phosphorus replacement IV - N/A :: IV :: per protocol :: If low (refeeding); K-Phos or Na-Phos IV/PO Hypercalcite; renal failure Phos levels STAT STAT - STAT

3D. Glucose Administration

Treatment Route Indication Dosing Pre-Treatment Requirements Contraindications Monitoring ED HOSP OPD ICU
THIAMINE BEFORE GLUCOSE - - N/A :: - :: per protocol :: ALWAYS give thiamine before or with dextrose/carbohydrates; glucose metabolism depletes thiamine - None Give thiamine first STAT STAT - STAT
Dextrose (if hypoglycemic) IV - 25-50 mL :: IV :: - :: D50 25-50 mL IV or D10 infusion; AFTER thiamine - Give thiamine first Glucose levels STAT STAT - STAT

3E. Alcohol Withdrawal Prevention/Treatment

Treatment Route Indication Dosing Contraindications Monitoring ED HOSP OPD ICU
Benzodiazepines (symptom-triggered or scheduled) IV - 1-4 mg :: IV :: PRN :: Lorazepam 1-4 mg IV q15min PRN (CIWA-guided); or scheduled dosing if severe Respiratory depression; caution with hepatic impairment CIWA score; sedation; respiratory status STAT STAT - STAT
Folate PO - 1 mg :: PO :: daily :: 1 mg daily None None - ROUTINE ROUTINE -
Multivitamin - - N/A :: - :: daily :: Daily None None - ROUTINE ROUTINE -

3F. Nutritional Support

Treatment Route Indication Dosing Contraindications Monitoring ED HOSP OPD ICU
Nutrition consult - - N/A :: - :: per protocol :: Refeeding protocol; caloric needs None Refeeding syndrome - ROUTINE - ROUTINE
Gradual refeeding - - N/A :: - :: per protocol :: Start low calorie (10-15 kcal/kg); advance slowly None Phosphorus, K+, Mg, glucose - ROUTINE - ROUTINE

4. OTHER RECOMMENDATIONS

4A. At-Risk Populations (Prophylactic Thiamine)

Population Risk Level Prophylaxis
Chronic alcohol use disorder High Thiamine 200-500 mg IV TID × 3 days before/with any glucose
Hyperemesis gravidarum High Thiamine 100-200 mg IV daily; replace before IV dextrose
Bariatric surgery patients High Thiamine supplementation pre- and post-op; monitor
Prolonged fasting/starvation High Thiamine before refeeding
TPN without thiamine High Ensure thiamine in TPN
Chronic dialysis Moderate Oral thiamine supplementation
Cancer/chemotherapy Moderate Monitor; supplement if poor nutrition
AIDS/HIV Moderate Monitor; supplement
Critically ill/ICU patients Moderate Consider empiric thiamine in encephalopathy
Anorexia nervosa High Thiamine before refeeding

4B. Referrals & Consults

Recommendation ED HOSP OPD ICU Indication
Neurology - ROUTINE - ROUTINE Diagnosis confirmation; atypical presentations; persistent deficits
Addiction medicine/psychiatry - ROUTINE ROUTINE - Alcohol use disorder; relapse prevention
Nutrition/dietitian - ROUTINE ROUTINE ROUTINE Refeeding; nutritional rehabilitation
Social work - ROUTINE ROUTINE - Discharge planning; resources; housing
Physical/occupational therapy - ROUTINE ROUTINE - Gait ataxia; functional rehabilitation
Speech therapy - ROUTINE - - Swallowing assessment if impaired
Neuropsychology - - ROUTINE - Cognitive assessment if persistent deficits

4C. Patient/Family Instructions

Recommendation ED HOSP OPD
Wernicke encephalopathy is a medical emergency caused by thiamine (vitamin B1) deficiency - ROUTINE ROUTINE
Without treatment, permanent brain damage (Korsakoff syndrome) can occur - ROUTINE ROUTINE
Take thiamine supplements as prescribed - ROUTINE ROUTINE
If alcohol use disorder: Thiamine is critical; take before drinking if relapse - ROUTINE ROUTINE
Alcohol cessation is essential to prevent recurrence - ROUTINE ROUTINE
Eat a balanced diet; malnutrition worsens risk - ROUTINE ROUTINE
Report confusion, vision changes, unsteady walking ROUTINE ROUTINE ROUTINE
SAMHSA helpline 1-800-662-4357 for alcohol treatment resources - - ROUTINE

4D. Prevention Strategies

Recommendation ED HOSP OPD
Give thiamine BEFORE or WITH any glucose-containing fluids in at-risk patients ROUTINE ROUTINE -
Empiric thiamine for any encephalopathy in at-risk patients STAT STAT -
Thiamine supplementation for all patients with alcohol use disorder ROUTINE ROUTINE ROUTINE
Thiamine in TPN formulations - ROUTINE -
Pre-operative thiamine for bariatric surgery patients - ROUTINE ROUTINE

5. DIFFERENTIAL DIAGNOSIS

Alternative Diagnosis Key Distinguishing Features Tests to Differentiate
Hepatic encephalopathy Asterixis; elevated ammonia; liver disease Ammonia level; LFTs
Alcohol intoxication Positive alcohol level; resolves as level clears Blood alcohol; clinical course
Alcohol withdrawal Tremor, tachycardia, diaphoresis; after cessation History; CIWA score
Hypoglycemia Low glucose; rapid response to dextrose Fingerstick glucose
Meningitis/encephalitis Fever, meningismus, CSF abnormalities LP; CSF analysis
Stroke (thalamic, brainstem) Acute onset; focal signs; imaging findings MRI/CT; usually asymmetric
Central pontine myelinolysis History of rapid sodium correction; imaging MRI; sodium history
Normal pressure hydrocephalus Triad: gait, dementia, incontinence; enlarged ventricles MRI; LP trial
Drug intoxication Toxicology positive; specific syndromes Tox screen; history
Non-convulsive status epilepticus EEG shows seizure activity EEG
Posterior reversible encephalopathy (PRES) Hypertension; posterior white matter edema MRI; BP

6. MONITORING PARAMETERS

Parameter ED HOSP OPD ICU Frequency Target/Threshold Action if Abnormal
Mental status (GCS, orientation) STAT q4h Every visit q1-2h Per setting Improving Continue thiamine; r/o other causes
Oculomotor exam (nystagmus, gaze palsy) STAT Daily Every visit Daily Daily until improved Improving Continue treatment
Gait/ataxia assessment - Daily Every visit - Daily until improved Improving PT/OT; continue treatment
Magnesium STAT Daily until stable PRN q6-12h Per setting >2.0 mg/dL Replace
Potassium STAT Daily until stable PRN q6-12h Per setting 3.5-5.0 mEq/L Replace
Phosphorus STAT Daily until stable PRN q12h Per setting >2.5 mg/dL Replace
Blood glucose STAT q6h initially PRN q4-6h Per setting 80-180 mg/dL Give thiamine before glucose
CIWA score (if alcohol withdrawal risk) STAT q4-8h - q2-4h Per protocol <10 Benzodiazepines PRN

7. DISPOSITION CRITERIA

Disposition Criteria
Admit to hospital All suspected or confirmed Wernicke encephalopathy; need IV thiamine
ICU admission Altered mental status; severe withdrawal risk; hemodynamic instability
Discharge criteria Mental status normalized; tolerating oral thiamine; safe discharge plan
Neurology follow-up 2-4 weeks post-discharge; assess for persistent deficits
Addiction medicine follow-up If alcohol use disorder; outpatient treatment program
Urgent readmission Recurrent symptoms; inability to take oral thiamine; relapse

8. EVIDENCE & REFERENCES

Recommendation Evidence Level Source
High-dose IV thiamine (500 mg TID) for suspected WE Class II, Level B EFNS guidelines; Cochrane review (limited RCT data but expert consensus)
Thiamine before glucose in at-risk patients Class I (practice standard) Physiologic rationale; case reports of precipitation
MRI typical findings in WE Class II, Level B Multiple case series; imaging studies
Magnesium replacement essential Class II, Level B Cofactor for thiamine-dependent enzymes
Oral thiamine poorly absorbed in alcoholics Class II Pharmacokinetic studies; supports IV administration
Prophylactic thiamine in at-risk populations Class II, Level B Observational data; prevention superior to treatment
Classic triad present in minority Class II Autopsy studies show only 10-16% have all three features

CLINICAL FEATURES

Classic Triad (present in only 10-16%): 1. Encephalopathy: Confusion, disorientation, apathy, inattention, obtundation, coma 2. Oculomotor dysfunction: Nystagmus (horizontal > vertical), lateral rectus palsy (CN VI), conjugate gaze palsy 3. Gait ataxia: Wide-based, unsteady; may be unable to walk

Other Features: - Hypothermia - Hypotension - Tachycardia - Peripheral neuropathy (feet > hands) - Vestibular dysfunction without hearing loss

Caine Criteria (2 of 4 for diagnosis in alcoholics): 1. Dietary deficiency 2. Oculomotor abnormalities 3. Cerebellar dysfunction 4. Either altered mental status or mild memory impairment


NOTES

  • Wernicke encephalopathy is a MEDICAL EMERGENCY - treatment should not be delayed for diagnostic confirmation
  • Classic triad is present in only 10-16% of cases; have low threshold to treat empirically
  • ALWAYS give thiamine BEFORE or SIMULTANEOUSLY with glucose/dextrose in at-risk patients
  • Oral thiamine is poorly absorbed in alcoholics; IV route is essential for acute treatment
  • Magnesium is a required cofactor; replace aggressively
  • High-dose IV thiamine (500 mg TID) is recommended; standard doses (100 mg) are inadequate for acute WE
  • MRI may be normal in early WE; clinical diagnosis takes precedence
  • Without treatment, mortality is ~20% and ~80% develop Korsakoff syndrome
  • Korsakoff syndrome (chronic amnestic state) is largely irreversible once established
  • Oculomotor abnormalities respond quickly (hours to days); ataxia and encephalopathy take longer
  • Non-alcoholic WE (hyperemesis, bariatric surgery, malnutrition) may have atypical presentations
  • Thiamine is safe; there is no downside to empiric treatment

CHANGE LOG

v1.0 (January 29, 2026) - Initial template creation - High-dose IV thiamine protocol emphasized - At-risk populations comprehensive list - Caine criteria included - MRI findings detailed - Thiamine before glucose emphasized - Prevention strategies included