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All are feature of Wernicke's encephalopathy,Except:

A
Cogwheel rigidity
B
Alteration in mental function
C
6th nerve palsy
D
Ataxia
High-Yield Explanation
Ans. is 'a' Cogwheel rigidity (Ref Harrison, 16/e, p 1636 (15/e, p 2496)).Wernicke's disease is seen in Alcoholic* patients with chronic thiamine deficiency*.The characteristic clinical trial is that of:Global confusionOphthalmoplegia Ataxia Mnemonic: GOAOther ocular motor abnormalities include:horizontal nystagmus on lateral gaze,conjugate gaze palsies*rarely ptosis*Pupil are usually spared but they may become miotic.When there is an additional loss of memory and a confabulatory psychosis, the syndrome is known as Wernicke- Korsakoff syndrome *.

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