AlcoholKorsakoff’s SyndromeSymptoms• Poor balance, Ataxia• Numb feet• Retrograde Amnesia• Antero grade amnesia• Heavy alcohol consumption• Poor diet and thiaminedeficiencyBehaviour• Confabulation: inventsevents to fill the gaps inmemory• difficulty in acquiring newinformation or learning newskills• Poor insight: believe thattheir memory is functioningnormally• Talkative repetitive
Case Study• Dory: I dont know where Iam... I dont know whatsgoing on. I think I lostsomebody but I, I cantremember... and I cantremember...• I suffer from short-termmemory loss. It runs in myfamily... At least I think itdoes... hm. Where *are*they?
HypoxiaStructures• Diffuse brain damage• Boundary zone/Watershed• Basal gangliaBehaviour• Movement disorders• Gait Parkinsonism• Epilepsy• Cognitive impairment• Agnosia• Features of Korsakoff andTBI
Conclusion• Difficult to decide Psychosis vs Brain damage• May be co existent• Understanding the injury may help withmanaging behaviour