Physical Therapy Management of Acute Wernicke’s Encephalopathy: A Case Study. | ||||
Translational Health Sciences | ||||
Volume 1, Issue 2, August 2025, Page 36-50 PDF (1.08 MB) | ||||
Document Type: Case Study | ||||
DOI: 10.21608/ths.2025.388406.1008 | ||||
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Author | ||||
Ahmed Alaa Elzayat ![]() | ||||
Faculty of Physical Therapy, Egyptian Chinese University, Cairo, Egypt | ||||
Abstract | ||||
Background: Wernicke’s encephalopathy is a severe, and often overlooked, neurological condition that can lead to cognitive impairment and loss of mobility. This case study emphasized the interdisciplinary approach and the integration of rehabilitation with pharmaceutical treatment. The importance of recognition and management of WE is highlighted in this case study, showcasing the pivotal role of physical therapy in the recovery process. The study also discusses the challenges encountered during rehabilitation, and the patient’s response to therapy. Case Presentation: This case study presents the physical therapy management of a 26-year-old male diagnosed with acute WE. The patient suffered from a history of gastrointestinal issues represented in recurrent vomiting whenever he eats or drinks (hyperemesis), leading to malnutrition. After that, the patient exhibited classic symptoms of WE. The patient was initially misdiagnosed, leading to condition progression until the right diagnosis was reached. Upon diagnosis, the patient was administered a high-dose of multivitamins and immediately commenced on a physical therapy regimen. However, further complications arose during his initial physical therapy program. Management and Outcome: The therapeutic strategy focused on enhancing motor function, balance, and coordination through a combination of physical and occupational therapy. Over the course of treatment, the patient demonstrated significant improvements in cognitive function, motor skills, and overall quality of life. The patient is on track to make a full recovery. | ||||
Keywords | ||||
Muscle weakness; Nystagmus; Rehabilitation; Gait training; Coordination | ||||
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