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Alcohol withdrawal syndrome: how to predict, prevent, diagnose and treat it.
Prescrire Int
February 2007
(1) When people who are physically dependent on alcohol stop drinking, they experience an alcohol withdrawal syndrome. The symptoms generally resolve spontaneously within a week, but more severe forms may be associated with generalised seizures, hallucinations and delirium tremens, which can be fatal. (2) We carried out a literature review in order to obtain answers to the following questions: how to predict or rapidly diagnose a severe alcohol withdrawal syndrome; how to prevent and treat this syndrome; how to manage severe forms; and how to deal with the risk of vitamin B1 deficiency.
View Article and Find Full Text PDF[Alcohol withdrawal syndrome and its treatment].
Ther Umsch
April 2000
Klinik für Abhängiges Verhalten und Suchtmedizin, Zentralinstitut für Seelische Gesundheit, Mannheim.
When alcoholics decrease or interrupt alcohol intake abruptly, they will in general experience alcohol withdrawal symptoms. Clinically in most cases it develops a vegetative syndrome with gastroenteropathy, cardiovascular diseases, neurological and psychopathological symptom. Usually alcohol withdrawal symptoms abate after four to seven days, longer courses are rare.
View Article and Find Full Text PDFApnea syndrome in a patient with Alzheimer dementia under chlormethiazole treatment: a clinical experience report.
Acta Psychiatr Scand
January 1999
Department of Geriatric Psychiatry, University of Berne, Psychiatric Institutions, Switzerland.
Sleep apnea syndromes in conjunction with dementia have attracted considerable interest among geropsychiatrists in recent years. This clinical case report describes a demented and delirious elderly patient with a history of alcoholism who developed a sleep apnea syndrome under treatment with chlormethiazole. The risk of chlormethiazole treatment may be underestimated in vulnerable patients, e.
View Article and Find Full Text PDFHemodynamic follow-up of cardiac allografts from poisoned donors.
Transplantation
November 1998
Heart Center North Rhine-Westphalia, Ruhr-University of Bochum, Bad Oeynhausen, Germany.
Background: The current shortage of donor organs, combined with an increasing demand for cardiac allografts, means that extended donor criteria are becoming more and more accepted. The use of cardiac allografts for transplantation from donors after acute poisoning is still under discussion; few data are currently available in the medical literature. We describe our experience with 19 orthotopic heart transplant recipients of organs from donors after acute intoxication with different agents.
View Article and Find Full Text PDFStatus epilepticus: management and outcome of 107 episodes.
Seizure
June 1994
Department of Neurology, Leicester Royal Infirmary, UK.
Morbidity and mortality from status epilepticus might be reduced by attention to recommended management protocols. We studied our experience of 107 episodes of status epilepticus in 43 patients over a 5-year period. Overall mortality was 2% and permanent sequelae developed in 11 cases (10%).
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