The Use of the Electroencephalogram in Patients Admitted for Alcohol Abuse with Seizures

Gerson, Irvin M.; Karabell, Sheldon

doi:10.1177/155005947901000105

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What Is the Frequency Of Seizures In Alcoholics?1

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Cited by 13 publications

(2 citation statements)

References 19 publications

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“…The present results confirm recent reports that suggest that photoparoxysmal responses are not common features of the early phase after ARS (28, 29).…”

Section: Discussionsupporting

confidence: 93%

Clinical utility of EEG in alcohol-related seizures

Sand

Bråthen

Michler

et al. 2002

Acta Neurologica Scandinavica

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“…The present results confirm recent reports that suggest that photoparoxysmal responses are not common features of the early phase after ARS (28, 29).…”

Section: Discussionsupporting

confidence: 93%

Clinical utility of EEG in alcohol-related seizures

Sand

Bråthen

Michler

et al. 2002

Acta Neurologica Scandinavica

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“…A study of 566 patients admitted with acute or subacute alcohol toxicity to a detoxification unit in the U.S.A. showed that, in those who had not been previously admitted, a third had a seizure as one of the presenting symptoms of the admission. Among those who had been admitted previously, a similar proportion had a seizure when they were admitted during the study period, even though many of these had been put on anticonvulsants [15]. These findings may overstate the usual proportion.…”

Section: What Is the Frequency Of Seizures In Alcoholics?mentioning

confidence: 83%

Alcohol and Fits

Johnson

1985

British Journal of Addiction

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The Treatment of Alcohol Withdrawal

Guthrie

1989

Pharmacotherapy

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Abrupt cessation of regular use of alcohol in a dependent person causes a withdrawal syndrome that may range from mild to extremely severe. Most patients require pharmacologic intervention, especially those with severe symptoms. Historically, the pharmacotherapy of alcohol withdrawal has involved a wide variety of agents. Benzodiazepines are currently preferred due to their consistently high degree of efficacy and laudable record of safety. In addition, beta blockers and clonidine are useful, as both effectively combat the hypertension and tachycardia commonly associated with withdrawal. They are ineffective as anticonvulsants; however. Opinions differ concerning the best treatment for withdrawal seizures. Prophylaxis with benzodiazepines may be all that is required, although some authors advocate the use of phenytoin for 5 days, especially in persons with a history of prior seizures during alcohol withdrawal. Once established, delirium tremens are difficult to treat. Benzodiazepines are most commonly used to provide sedation, and extremely large doses may be required. Careful clinical assessment is essential to the proper treatment of patients undergoing alcohol withdrawal since the coexistence of medical problems may complicate the condition.

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The Use of the Electroencephalogram in Patients Admitted for Alcohol Abuse with Seizures

Cited by 13 publications

References 19 publications

Clinical utility of EEG in alcohol-related seizures

Clinical utility of EEG in alcohol-related seizures

Alcohol and Fits

The Treatment of Alcohol Withdrawal

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