3132 Wernicke’s encephalopathy in the absence of alcohol use caused by profound dietary restriction

Average 11.74 years from symptom onset to clinic review.Average 1.8 specialists involved prior to neuromuscular clinic.Average 229 days wait from triage to clinic review.Of those referred for diagnostic uncertainty, 49% (27/55) received a confirmed diagnosis where the average time from first clinic to diagnosis was 133 days.Conclusion/Discussion Our audit has shown delays in the diagnostic assessment of NMD including poor recognition of symptomatology, misdiagnosis or inappropriate referrals to other specialists.Improved availability of specialist neuromuscular services has the potential to decrease time to clinic reviews, provide more support to primary care doctors and identify appropriate referrals, thereby lessening the burden on other specialities.