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[Alcohol and epilepsy].

Geir Bråthen1

  • 1Avdeling for nevrologi og nevrofysiologi, St. Olavs Hospital, 7006 Trondheim. geir.brathen@medisin.ntnu.no

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|June 25, 2003
PubMed
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Alcohol-related seizures are complex, with alcohol withdrawal seizures being the most common. Management requires careful consideration of individual patient factors and alcohol use history.

Area of Science:

  • Neurology
  • Addiction Medicine

Context:

  • Alcohol-related seizures are historically recognized but lack clear understanding of their mechanisms, classification, and treatment.
  • A significant portion of acute seizures in hospitalized patients are linked to alcohol overuse.

Purpose:

  • To review the classification, diagnostics, and treatment of alcohol-related seizures.
  • To clarify the relationship between alcohol consumption and seizure disorders.

Summary:

  • Alcohol withdrawal seizures typically occur within 48 hours of cessation. Alcohol can also precipitate seizures independently of withdrawal, worsen epilepsy control, and potentially induce epilepsy.
  • Diagnosis relies on medical history, with the Alcohol Use Disorders Identification Test (AUDIT) and Carbohydrate-deficient transferrin (CDT) as valuable tools. Electroencephalography (EEG) has limited diagnostic utility.

Related Experiment Videos

  • Acute seizure management is standard. Prophylactic medication post-withdrawal seizure should be brief. Caution is advised with anti-epileptic drugs in co-occurring epilepsy and alcohol abuse.

    • Impact:

    • Provides a comprehensive overview to guide clinical practice in managing alcohol-related seizures.
    • Highlights the importance of considering alcohol use in seizure workups and the nuances of treatment in patients with co-existing epilepsy and alcohol abuse.