Management of Alcohol Withdrawal Syndrome and Alcohol Withdrawal Seizure

Kyoung Heo, Yang-Je Cho, So-Hee Eun, Sung Chul Lim, Jeehun Lee, Pamela Song
2017 Journal of the Korean Neurological Association  
Alcohol withdrawal syndrome (AWS) is a common condition occurring after intentional or unintentional abrupt cessation of alcohol in an alcohol-dependent individual. AWS represents a major problem in our society and alcohol withdrawal seizure is the major cause of seizures encountered by neurology residents in the emergency department. Patients with AWS present with mild symptoms of tremulousness and agitation or more severe symptoms including withdrawal seizures and delirium tremens.
more » ... tremens. Particularly, severe AWS can produce significant rates of the morbidity (complications) and mortality. When diagnosed and managed insufficiently, the morbidity and mortality rates increase. Nevertheless, patients with AWS may be neglected and are often marginalized and the teaching about AWS to neurology residents is usually minimal. Also, attending neurologists are often poorly informed on the topic. Although there is insufficient consensus about the optimal investigation and management, the purpose of this review is to serve as a summary of the appropriate identification and management of this important condition in a neurological setting. 서 론 임상에서 알코올 금단 증후군(alcohol withdrawal syndrome)은 흔히 일어나는 문제이고, 알코올 관련 발작은 발작 관련되어 입원 하는 경우의 1/3을 차지한다고 알려져 있다. 1-4 특히 심한 알코올 금단 증후군은 이환 상태 및 합병증을 흔히 일으켜 사망에 이르게 할 수 있다. 적절한 치료가 없다면 사망률이 5-15%에 이르며 빨리 진단되어 적절하게 치료될 때 사망률은 1%를 넘지 않는다. 5 정신 과 영역으로 간주되나 특히 알코올 금단 발작(alcohol withdrawal seizure)의 경우 응급실에서 신경과 전공의는 흔히 부딪혀야 하고
doi:10.17340/jkna.2017.3.1 fatcat:36nlgalgpjdp3nwkmrtzu3trza