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March 13, 2026Frontiers in Behavioral NeuroscienceOpen Access

Case Report: Wernicke’s encephalopathy induced by prolonged fasting due to apparent psychogenic dysphagia

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Authors

LML. MillsWestern Michigan UniversityHZHenry ZouAAAkram AlnounouWestern Michigan University

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Overview

Case report reveals Wernicke’s encephalopathy from dysphagia-induced malnutrition, highlighting urgent treatment needs.

Key Points

  • This report aims to illustrate the occurrence of Wernicke's encephalopathy due to prolonged fasting and dysphagia.
  • Case report of a 26-year-old woman with a history of dysphagia and type 2 diabetes.
  • Diagnostic imaging included computed tomography and magnetic resonance imaging.
  • Assessment of nutritional deficiencies through vitamin level checks, specifically thiamine, folate, and B12.
  • Clinical intervention involved thiamine repletion and monitoring of neurologic symptoms.
  • Patient exhibited confusion, incoherence, and gait instability indicative of Wernicke’s encephalopathy.
  • Magnetic resonance imaging revealed signal changes in regions associated with WE.
  • Nutritional repletion improved patient's mentation and coordination.
  • Patient was referred for psychiatric evaluation regarding the psychogenic nature of her dysphagia.

Cite This Study

Mills et al. (2026) studied this question.

synapsesocial.com/papers/69b3ab0002a1e69014ccbb2bhttps://doi.org/10.3389/fnbeh.2026.1780775
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Also Consider

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  1. 1Wernicke encephalopathy in a patient with medullary infarctions: a case report2024
  2. 2Wernicke’s Encephalopathy Complicated by Postoperative Digestive Fistula and Severe Nutritional Deficits2025
  3. 3Non-alcoholic Wernicke Encephalopathy with Atypical Cortical Involvement on MRI: A Case Report2026
  4. 4A Case of Prolonged Wernicke’s Encephalopathy After Treatment With IV Thiamine Due to the Subsequent Development of Refeeding Syndrome2024
  5. 5Wernicke’s Encephalopathy from Hyperemesis Gravidarum. A Case Report2024