Skip to main content

Wernicke-Korsakoff Syndrome

  • Reference work entry
  • First Online:
Encyclopedia of Clinical Neuropsychology

Synonyms

Alcoholic amnestic disorder; Korsakoff amnestic syndrome; Korsakoff (Korsakov) psychosis; Polyneuritis psychosis

Definition

Wernicke-Korsakoff syndrome (WKS) is a neurological disorder caused by thiamine deficiency. The acute phase of the disorder is called Wernicke encephalopathy and is characterized by confusion, ataxia, and oculomotor palsy. The chronic phase, called Korsakoff syndrome, is characterized by anterograde and retrograde amnesia and a propensity to confabulation. WKS is most frequently associated with long-standing alcohol consumption, but can also result from other disorders leading to nutritional insufficiency. In chronic alcoholics, thiamine deficiency is caused both by reduced intake and reduced absorption, the former due to inadequate nutrition and the latter caused by alcohol-related intestinal damage. As these symptoms resolve with thiamine replacement therapy, an inability to form new memories and a propensity to produce stories to fill memory gaps...

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 899.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 1,099.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References and Readings

  • Aggleton, J. P., & Brown, M. W. (1999). Episodic memory, amnesia, and the hippocampal-anterior thalamic axis. Behavioral and Brain Sciences, 22, 425–489.

    PubMed  Google Scholar 

  • Albert, M. S., Butters, N., & Levin, J. (1979). Temporal gradients in the retrograde amnesia of patients with alcoholic Korsakoff’s disease. Archives of Neurology, 36, 211–216.

    Article  PubMed  Google Scholar 

  • Brokate, B., Hildebrandt, H., & Eling, P. (2003). Frontal lobe dysfunction in Korsakoff’s syndrome and chronic alcoholism: Continuity of discontinuity? Neuropsychology, 17, 420–428.

    Article  PubMed  Google Scholar 

  • Butters, N., & Cermak, L. S. (1980). Alcoholic Korsakoff’s syndrome: An information processing approach to amnesia. New York: Academic Press.

    Google Scholar 

  • Caine, D., Halliday, G., Kril, J. J., & Harper, C. G. (1997). Operational criteria for the classification of chronic alcoholics: Identification of Wernicke’s encephalopathy. Journal of Neurology, Neurosurgery and Psychiatry, 62, 51–60.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kopelman, M. D. (1989). Remote and autobiographical memory, temporal context memory and frontal atrophy in Korsakoff and Alzheimer patients. Neuropsychologia, 27, 437–460.

    Article  PubMed  Google Scholar 

  • Mair, W. G., Warrington, E. K., & Weiskrantz, L. (1979). Memory disorders in Korsakoff’s psychosis: A neuropathological and neuropsychological investigation of two cases. Brain, 102, 749–783.

    Article  PubMed  Google Scholar 

  • Naidoo, E. P., Bramdev, A., & Cooper, K. (1991). Wernicke’s encephalopathy and alcohol related disease. Postgraduate Medical Journal, 67, 978–981.

    Article  PubMed Central  PubMed  Google Scholar 

  • Thomson, A. D., & Marshall, E. J. (2006). The natural history and pathophysiology of Wernicke’s encephalopathy and Korsakoff’s psychosis. Alcohol and Alcoholism, 41, 151–167.

    Article  PubMed  Google Scholar 

  • Verfaellie, M., & Cermak, L. S. (1992). Neuropsychological issues in amnesia. In J. Martinez & R. Kesner (Eds.), Learning and memory: A biological view (pp. 467–497). San Diego: Academic Press.

    Google Scholar 

  • Victor, M., Adams, R. A., & Collins, G. H. (1989). The Wernicke-Korsakoff syndrome and related neurologic disorders due to alcoholism and malnutrition. Philadelphia: F.A. Davis.

    Google Scholar 

  • Witt, E. D. (1985). Neuroanatomical consequences of thiamine deficiency: A comparative analysis. Alcohol and Alcoholism, 20(2), 201–221.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ginette Lafleche .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this entry

Check for updates. Verify currency and authenticity via CrossMark

Cite this entry

Lafleche, G., Verfaellie, M. (2018). Wernicke-Korsakoff Syndrome. In: Kreutzer, J.S., DeLuca, J., Caplan, B. (eds) Encyclopedia of Clinical Neuropsychology. Springer, Cham. https://doi.org/10.1007/978-3-319-57111-9_1164

Download citation

Publish with us

Policies and ethics