Its a clinical case of Wernicke’s-Korsakoff syndrome(Wernicke’s encephalopathy associated with Alcoholic Korsakoff pyschosis). It is generally due to Vitamin B1(Thiamine deficiency). The Imp coenzyme involved here is Thiamine Pyrophosphate.
Because the patient is chronic alcoholic.
thiamine def due to chronic alcoholism
Due to thiamine Def Wernicke’s encephalopathy
Classical GOA- GLOBAL CONFUSION
Pt needs urgent attention- 100mg thiamine+BZD