Alcohol-Related Seizures

被引：9
作者：
McMicken, David
Liss, Jonathan L.
机构：
[1] Department of Emergency Services, The Medical Center, Columbus, GA
来源：
EMERGENCY MEDICINE CLINICS OF NORTH AMERICA | 2011年 / 29卷 / 01期
关键词：
Seizures; Alcohol withdrawal; Benzodiazepines; CONVULSIVE STATUS EPILEPTICUS; EMERGENCY-DEPARTMENT; WITHDRAWAL SYNDROMES; DELIRIUM-TREMENS; FOSPHENYTOIN; PHENYTOIN; MANAGEMENT; LORAZEPAM; PREVENTION; DIAZEPAM;
D O I：
10.1016/j.emc.2010.08.010
中图分类号：
R4 [临床医学];
学科分类号：
1002 ; 100602 ;
摘要：
The term alcohol-related seizures (ARS) is used to refer to all seizures in the aggregate associated with alcohol use, including the subset of alcohol withdrawal seizures (AWS). From 20% to 40% of patients with seizure who present to an emergency department have seizures related to alcohol abuse. However, it is critical to avoid prematurely labeling a seizure as being caused by alcohol withdrawal before performing a careful diagnostic evaluation. Benzodiazepines alone are sufficient to prevent AWS. The alcoholic patient with a documented history of ARS, who experiences a single seizure or a short burst of seizures should be treated with lorazepam, 2 mg intravenously.
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收藏
页码：117 / +
页数：9
相关论文
共 41 条
[1]   ACUTE ETHANOL POISONING AND THE ETHANOL WITHDRAWAL SYNDROME [J].
ADINOFF, B ;
BONE, GHA ;
LINNOILA, M .
MEDICAL TOXICOLOGY AND ADVERSE DRUG EXPERIENCE, 1988, 3 (03) :172-196
[2]   A comparison of lorazepam, diazepam, and placebo for the treatment of out-of-hospital status epilepticus [J].
Alldredge, BK ;
Gelb, AM ;
Isaacs, SM ;
Corry, MD ;
Allen, F ;
Ulrich, S ;
Gottwald, MD ;
O'Neil, N ;
Neuhaus, JM ;
Segal, MR ;
Lowenstein, DH .
NEW ENGLAND JOURNAL OF MEDICINE, 2001, 345 (09) :631-637
[3]  
[Anonymous], 1993, JAMA, V270, P854
[4]   Alcohol still kills! [J].
Ary, RD ;
Wald, MM ;
Rutland-Brown, W .
ANNALS OF EMERGENCY MEDICINE, 2002, 39 (06) :651-652
[5]   Acute neurologic complications of drug and alcohol abuse [J].
Brust, JCM .
NEUROLOGIC CLINICS, 1998, 16 (02) :503-+
[6]   EMERGENCY DEPARTMENT TREATMENT OF ALCOHOL-WITHDRAWAL SEIZURES WITH PHENYTOIN [J].
CHANCE, JF .
ANNALS OF EMERGENCY MEDICINE, 1991, 20 (05) :520-522
[7]   A comparison of lorazepam and diazepam as initial therapy in convulsive status epilepticus [J].
Cock, HR ;
Schapira, AHV .
QJM-AN INTERNATIONAL JOURNAL OF MEDICINE, 2002, 95 (04) :225-231
[8]   Successful use of propofol in refractory - Delirium tremens [J].
Coomes, TR ;
Smith, SW .
ANNALS OF EMERGENCY MEDICINE, 1997, 30 (06) :825-828
[9]   Randomized evaluation of adverse events and length-of-stay with routine emergency department use of phenytoin or fosphenytoin [J].
Coplin, WM ;
Rhoney, DH ;
Rebuck, JA ;
Clements, EA ;
Cochran, MS ;
O'Neill, BJ .
NEUROLOGICAL RESEARCH, 2002, 24 (08) :842-848
[10]   Lorazepam for the prevention of recurrent seizures related to alcohol [J].
D'Onofrio, G ;
Rathlev, NK ;
Ulrich, AS ;
Fish, SS ;
Freedland, ES .
NEW ENGLAND JOURNAL OF MEDICINE, 1999, 340 (12) :915-919
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