The clinical picture of epilepsy and seizures during alcoholic intoxication

  • Generalized seizures
  • Small seizures
  • Focal seizures, motor seizures, Jacksonian seizure
  • Diencephalic epilepsy
  • Seizures with psychopathological phenomena
  • Automatisms
  • Often in children whose parents suffer from alcoholism, there are various forms of seizures. Some of them start from birth, on the background of decreasing function of higher nervous activity and gaps in psychomotor development, the others - later against provoking moments. Therefore, physicians should be aware of all forms of epileptic seizures and seizures, in order to determine the type and nature of the observed seizures and to provide adequate care.
    In adolescents seizures and convulsions, due to early alcoholic intoxication, appear more often than adults, because some children have the seizures can be triggered by the direct reception of alcohol and alcoholism of parents.
    Epilepsy is a chronic polietiologic disease characterized by repeated convulsions and non-convulsive seizures with impaired consciousness, decreased intelligence and mental disorders. In most cases, it begins in childhood and continues throughout life.
    In the etiology of epilepsy identified many factors, including parental alcoholism, especially women during pregnancy.
    Alcohol epilepsy is one of the varieties of symptomatic epilepsy, which occurs in patients with alcoholism II-III stage after the abrupt interruption of long-term systematic or binge drinking with a relatively high tolerance to alcohol, mainly at the height of hangover. Each convulsive seizure-a consequence of intoxication and the severity of hangover, after eliminating which fits disappear. Alcohol epilepsy differs from epilepsy caused by alcoholism. It should be noted that patients with alcoholic epilepsy older than 26 years, and epilepsy caused by alcoholism, younger prescription alcohol addiction is accordingly more than 10 and less than 10 years. To provoke available predisposition to epilepsy can and initial stage of alcoholism and even household drinking. Alcohol epilepsy see in alcoholics with systematic long drunkenness, and to provoke predisposition can even a single dose of alcohol.
    For alcohol epilepsy characterized by large seizures at the height of abstinence, and for epilepsy caused by alcohol, all kinds of seizures. Some domestic and foreign authors consider that not all seizures in alcoholism can be interpreted as alcohol epilepsy. According to S. G. Zhislin (1965), to truly alcohol epilepsy include: seizures caused by alcohol consumption over time and in the early days of the withdrawal syndrome; seizures that occur in the II and III stages of alcoholism in the period of delusional syndrome or encephalopathy Gaye - Wernicke in the form of series and single stroke. These include various pseudooperations (hysterical attacks at the height of intoxication) and the seizures of epilepsy caused by alcoholism.
    T. N. Dudko (1970) notes the existence of vegetative aura patients with alcoholic epilepsy.
    Century 3. Tymoshenko (1973) distinguishes three groups of patients with convulsive syndrome when alcohol epilepsy. The first included the patients of young age with small barred alcoholism, whose seizures appear at the height of the withdrawal syndrome, by type of absence or infrequent deployed seizures. This is - withdrawal form alcoholic epilepsy. In patients of the second group sudorozhny syndrome occurs when malignant course of alcoholism (binges, acceptance of substitutes). On the background of alcoholic encephalopathy with severe somatic and neurological disorders appear deployed seizures occurring serially, combined with sleep and amnesia. In patients of the third group convulsive syndrome with atherosclerosis and hypertension. Seizures occur on the background of vascular diseases, weighting their course.
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