Waterston J A, Gilligan B S
Med J Aust. 1986;145(3-4):154-5. doi: 10.5694/j.1326-5377.1986.tb113778.x.
Wernicke's encephalopathy has been associated rarely with fasting. We describe a middle-aged patient who presented in a subacute fashion with features of thiamin deficiency after marked weight reduction. Associated features were chest pain, possibly related to cardiac involvement, and a proximal myopathy. The Wernicke-Korsakoff syndrome has been described in the literature for around 100 years. However, the classic triad of ataxia, ophthalmoplegia and impaired conscious state that occurs in a person with chronic alcoholism is by no means its exclusive presentation.
韦尼克脑病与禁食很少相关。我们描述了一名中年患者，在体重显著减轻后以亚急性方式出现硫胺素缺乏的特征。相关特征包括胸痛（可能与心脏受累有关）和近端肌病。韦尼克-科尔萨科夫综合征在文献中已有约100年的描述。然而，慢性酒精中毒患者出现的共济失调、眼肌麻痹和意识状态受损这一经典三联征绝不是其唯一表现。
