BOF 154

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BOF: 154

You are called to see a patient in the short stay ward of the casualty unit

The patient was a homeless alcoholic who had been brought in by the police having been found lying in the street the previous day. No proper history had been obtained from the patient.

The patient had become fully conscious by evening and had been able to eat and drink normally

In the morning the patient had become confused and agitated

On examination you find the patient is confused, he has bilateral 6^th nerve palsy and nystagmus and he has an ataxic gait.

In this patient the most likely diagnosis is?

a)        Extradural haematoma

b)       Subdural haematoma

c)        Cerebellar haemorrhage

d)       Brainstem haemorrhage

e)        Wernicke’s encephalopathy

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