Objects : Increasing numbers of alcoholics takes burdens of physical problems and one of the most serious complication is alcohol related seizure. This study was conducted to assess the prevalence of alcohol related seizures(ARS) in alcoholic patients and also the risk factors associated with ARS. Method : 434 male alcoholic patients who were admitted to the alcohol inpatient unit on Seoul National Mental Hospital were studied. Patient interview and chart review was performed to take alcohol and seizure histories at the time of admission and also at the point o f seizure attack during admission. Neurological examination and brain study was performed to each one of the patient group. Results : Prevalence of alcohol withdrawal seizure was 8.5%. Variables associated with alcohol related seizure were duration of drinking, amount of drinking, comorbid delirium tremens, histories of minor head trauma. Most of subjects were neurologically free. Among the total 37 subjects, grand mal seizures were developed in 36 subjects and in 25 subjects seizure were developed within 48 hours. All of them experienced delirium tremens and 12 of them were attacked by recurrent seizures within 6 hours. Conclusion : Alcohol related seizure(ARS) was related to severity of alcoholic symptoms. Further studies are needed to find out the pathophysiology, the ways of management and prevention of alcohol withdrawal seizure for increasing risk of alcohol problems today.
서 론
연구대상 및 방법
결 과
고 찰
요 약
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