Alcohol in the elderly

• Wernicke encephalopathy: encephalopathy, oculomotor dysfunction, and gait ataxia caused by thiamine deficiency
• Korsakoff syndrome: anteroretrograde amnesia and confabulation
• Alcoholic cerebellar degeneration: 10+ years of alcohol, but cases can worsen suddenly
  • Check a cerebellar exam
• Neuromuscular complications
  • Peripheral neuropathy (axonal neuropathy, but also vitamin deficiency)
  • Myopathy: proximal more often