Lack of association between hippocampal volume reduction and first-onset alcohol withdrawal seizure. A volumetric MRI

S Bleich1, W Sperling, D Degner

  • 1Department of Psychiatry and Psychotherapy, Friedrich-Alexander-University of Erlangen-Nuremberg, Germany.

Abstract

Insights

Chronic alcoholism is linked to reduced hippocampal volume. However, this brain atrophy does not predict alcohol withdrawal seizures in patients, according to MRI findings.

Area of Science:

  • Neuroimaging
  • Neurology
  • Psychiatry

Background:

  • Hippocampal volume on MRI is studied in neurological and psychiatric disorders.
  • Reduced hippocampal volume is observed in chronic alcoholism.
  • The predictive value of hippocampal volume reduction for alcohol withdrawal seizures is unknown.

Purpose of the Study:

  • To investigate the association between hippocampal volume reduction and first-onset alcohol withdrawal seizures.
  • To determine if hippocampal volume reduction predicts withdrawal seizures in alcoholics.

Main Methods:

  • Volumetric magnetic resonance imaging (MRI) was used.
  • 52 patients with chronic alcoholism and 30 healthy controls were compared.
  • Hippocampal volumes were measured using high-resolution MRI.

Main Results:

  • Significantly reduced average hippocampal volumes were found in alcoholics compared to controls.
  • No significant correlation was found between hippocampal volume reduction and the occurrence of seizures during alcohol withdrawal.

Conclusions:

  • Alcoholism-related hippocampal atrophy does not appear to cause convulsive activity during withdrawal.
  • The degree of hippocampal atrophy cannot predict first-onset alcohol withdrawal seizures.