What is Wet Brain Syndrome?

Chronic alcohol consumption has severe effects on the brain. One of these is the so-called wet brain syndrome.

Wernicke-Korsakoff Syndrome (WKS), its medical term, is caused by a deficiency in thiamine or vitamin B1. And long term-alcohol misuse (no matter the cause of alcohol addiction) depletes this very nutrient. This can lead to neurological damage that affects memory, coordination, and cognitive abilities.

Suspecting yourself or someone with this condition? In this article, we’ll dive into its causes and symptoms and how you can prevent it.

wet brain syndrome
Source: Freedom Recovery

What Is Wet Brain Syndrome?

Wernicke Korsakoff Syndrome or wet brain syndrome is a serious neurological condition caused by a prolonged deficiency of thiamine. This deficiency is often linked to chronic alcohol misuse, which depletes the body’s thiamine stores. Without adequate levels of thiamine, the brain cannot function properly, leading to cognitive and physical impairments.

WKS has two distinct stages: Wernicke’s encephalopathy and Korsakoff’s psychosis.

Wernicke’s Encephalopathy (Acute Phase)

This is the initial, acute stage of the syndrome. At this point, you may experience sudden and severe symptoms such as confusion, loss of muscular coordination (ataxia), and abnormal eye movements, including double vision or rapid, involuntary eye movement. If treated promptly with thiamine supplementation, the effects of Wernicke’s encephalopathy may be reversible. Without treatment, however, it can progress to the next, more severe stage.

Korsakoff’s Psychosis (Chronic Phase)

This second phase often develops if Wernicke’s encephalopathy is not treated correctly. Korsakoff’s psychosis is a chronic and persistent condition where you may struggle with severe memory loss, confusion, and the inability to form new memories. If you have Korsakoff’s psychosis, you may also exhibit personality changes and an overall decline in cognitive abilities. Unlike the acute phase, the effects of Korsakoff’s psychosis are typically long-lasting.

Keep in mind that wet brain syndrome is a serious and potentially life-threatening condition. If left untreated, it can result in irreversible brain damage and long-term cognitive decline. 

alcohol misuse
Source: Freepik

Causes of Wet Brain Syndrome

As mentioned, wet brain syndrome occurs when the brain lacks thiamine. And one of the culprits behind thiamine deficiency is alcohol consumption. And as you learned, long term alcohol use may cause adverse effects on your body, like reducing your ability to absorb, store, and utilize thiamine.  

But how vital is thiamine?

Thiamine plays a vital role in brain cells’ energy production. In particular, it helps convert glucose into energy, which is essential for proper brain function. Without sufficient thiamine, brain cells lose the ability to generate energy, leading to cell dysfunction and death. Damage occurs primarily in the thalamus, hypothalamus, and cerebellum, which are areas responsible for memory, coordination, and cognitive processes. 

Other Risk Factors

Studies show that up to 80% of people with severe alcohol use disorder develop a thiamine deficiency, significantly increasing their risk of developing WKS. Among those who chronically misuse alcohol, the prevalence of WKS is around 12-14%.

In addition to long-term alcohol use, several other factors can increase your risk of developing this condition:

  • Poor diet or malnutrition
  • Eating disorders (e.g., anorexia)
  • Chronic illness (e.g., cancer and chronic infections)
  • Surgical procedures that affect nutrient uptake
  • Dialysis
wernicke korsakoff syndrome or wet brain
Source: Freedom Recovery

Symptoms of Wet Brain Syndrome

Wet brain syndrome manifests in various ways. The symptoms you may encounter also usually depend on which phase you’re in.

Symptoms of Wernicke’s Encephalopathy

  • Confusion. Difficulty processing information, mental fog, and disorientation.
  • Energy depletion, hypothermia, low blood pressure, or coma. Persistent fatigue, an inability to regulate body temperature, and lowered blood pressure that, if untreated, could result in a coma.
  • Lack of muscle coordination (ataxia). Problems with balance, unsteady walking, and involuntary muscle movements (tremors) in one or more areas of the body.
  • Vision disturbances. Irregular eye movements, such as back-and-forth motions (nystagmus), blurred or double vision, misaligned eyes, and drooping eyelids.

Symptoms of Korsakoff’s Psychosis

  • Permanent memory issues. Difficulty forming new memories (anterograde amnesia) and retrieving older memories (retrograde amnesia).
  • Confabulation. Filling in memory gaps with false information or inaccurate recollections.
  • Hallucinations. Seeing or hearing things that do not exist. Often, this causes confusion and distress.
  • Repetitive speech and behaviors. Unconscious repetition of words, phrases, or actions.
  • Impaired cognitive abilities. Struggles with planning, organizing, problem-solving, and carrying out routine tasks.
  • Apathy and emotional detachment. Reduced interest in daily activities, emotional flatness, and detachment from surroundings.

The symptoms of this condition can be subtle at first but worsen as time goes by. Remember: The effects of untreated WKS are comparable to the neurological damage caused by a drug overdose, where prolonged harm to brain cells can result in lasting cognitive and physical impairments. It is why early detection and treatment is crucial. 

Preventing Wet Brain Syndrome

Now, you may ask: Is there a way to prevent wet brain syndrome?

Preventing it requires proactive measures to maintain adequate levels of thiamine and avoid behaviors that increase the risk of deficiency. And since long-term alcohol use is the primary cause of WKS, addressing alcohol misuse is essential in preventing the condition.

Here are some strategies you can use:

Reduce or Quit Alcohol Use

The most effective way to prevent it is to reduce or stop alcohol consumption. Doing so can protect the body’s ability to absorb and use thiamine properly. 

Seek Professional Support

Finding it difficult to reduce or quit alcohol? Seeking professional help and enrolling in an intensive outpatient program (IOP) can be crucial. IOPs, for example, provide structured treatment that allows you to receive counseling, therapy, and support while maintaining your daily responsibilities. 

Maintain a Balanced Diet

Eating a balanced diet rich in thiamine-containing foods can help maintain healthy thiamine levels. These include whole grains, nuts, beans, meat, and fish.

Address Underlying Health Conditions

Certain health issues, such as eating disorders, chronic illness, and malnutrition, can increase the risk of thiamine deficiency. Addressing these conditions with proper medical care and nutritional support can lower the likelihood of developing WKS.

long term alcohol use may cause
Source: Freepik

Conclusion

Wet brain syndrome, also known as Wernicke-Korsakoff Syndrome, is a serious neurological disorder caused by long-term alcohol use and thiamine deficiency. Without treatment, it progresses from Wernicke’s encephalopathy to Korsakoff’s psychosis, leading to lasting cognitive impairments, memory loss, and coordination issues.

The most effective prevention is to quit or reduce alcohol use. Seeking help, observing a balanced diet rich in thiamine, and addressing health issues can also reduce your risk.

Looking for a trusted Idaho rehab center that helps treat this condition? We at Freedom Recovery are here to help. Feel free to contact our dedicated team today!