심한 알코올성 말초신경병증을 동반한 25세 남성 알코올 금단섬망 환자 치험 1례

A Case of Severe Alcohol Induced Peripheral Neuropathy in Alcohol Withdrawal Delirium Patient

cohol related problems are common in psychiatric field, but the concerns about alcohol induced neuropathy have been relatively lower than other alcohol related problems. We experienced a 25 year-old alcohol withdrawal delirium patient who had severe alcohol induced neuropathy complaining of severe pain on both extremities and not walking. He also had a abnormal electromyographic finding. Although his pain was not ameliorated by the typical usual analgesics such as amitriptyline & carbamazepine, adding mexiletine was remarkably effective for the pain without major side effects. The follow-up of electromyography was no change but patient’s pain was still reduced after 1 month. This case indicated that we psychiatrists should pay more attentions to alcohol induced neuropathy and the treatment of related pain in psychiatric backgrounds.