Seizures in alcohol-dependent patients: epidemiology, pathophysiology and management

If it spreads to both sides of the brain, the person would have impaired or loss of consciousness, and there may be other manifestations, he added. “Neuropathy is one of the most common neurologic problems, and epilepsy is not too far behind, so you can have two things,” Callaghan said. “Seizures don’t usually affect just the legs; they usually affect the whole body, and they can lead to losing consciousness.” If you’ve had two or three of those symptoms in the past year, that’s a mild alcohol use disorder.

Alcohol consumption

And some people may see things that aren’t there, known as hallucinations. By Rachael Zimlich, BSN, RNZimlich is a critical care nurse who has been writing about health care and clinical developments for over 10 years. Although these are general guidelines, your tolerance or consumption recommendation can vary based on your overall health, size, and medical condition. However, certain food groups also have benefits when it comes to helping with the discomfort of withdrawal symptoms and detoxification.

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If you think that someone has alcohol poisoning, seek medical care right away. BetterHelp offers affordable mental health care via phone, video, or live-chat. Ultimately, the best way to prevent alcohol-related neurologic disease is to not drink alcohol. Up to 46 percent of people with alcohol-related myopathy showed noticeable reductions in strength compared with people without the condition. Researchers have not determined if this is caused by the effects of alcohol on the brain or is the result of thiamine deficiency. Cerebellar degeneration caused by alcohol occurs when neurons in the cerebellum deteriorate and die.

How can alcohol-related neurologic disease be prevented?

This can happen whether or not a person has epilepsy at the time of the withdrawal. However, people with epilepsy may be more likely to have seizures while going through alcohol withdrawal. The data collection on alcohol use was part of a research project systematically gathering information on nicotine, alcohol, and illicit drug use in epilepsy patients within the last 12 months. The data was collected by a standardized questionnaire (see Supplementary Material).

Alcohol misuse can lead to neurological damage that can affect multiple areas of a person’s health and well-being. The best way to avoid the issue is to limit alcoholic consumption to 2 or fewer drinks per day for males and 1 or fewer for females. According to a 2017 review, muscle myopathy is common in alcohol use disorder. In addition, about 40 to 60 percent of people who sleep drunkenness experience chronic alcohol misuse also experience alcohol-related myopathy. This condition can be acute, affecting people for a short period of time before resolving, or chronic, lasting for a longer period of time. They usually appear within 48 hours after abrupt cessation, and are characterized by a reduction in seizure threshold secondary to adaptation to alcohol.

Out of the 204 patients who used alcohol, 147 (72%) were occasional or light alcohol users, 43 (21.1%) were moderate users and 14 subjects (6.9%) practiced heavier alcohol use. Nine subjects of the study population (2.9%) were AUDIT positive indicating hazardous and harmful alcohol use. If you are not alcohol dependent, you could still be at risk of alcohol withdrawal seizures if you drink heavily over a short space of time. Previous seizure activity while in alcohol withdrawal indicates that, if the person relapses, they will then experience more severe withdrawal symptoms when they quit drinking again. High risk of seizures has been linked to long-term alcohol abuse, alcohol addiction, heavy drinking, and binge drinking.

  1. Only 2.9% of our interviewed study subjects were AUDIT positive indicating hazardous and harmful alcohol intake.
  2. Consuming too much, especially over months or years, can result in severe symptoms.
  3. Therefore, all interviews were held in a separate study room where only the interviewer and the patient were present.
  4. The data was collected by a standardized questionnaire (see Supplementary Material).

After a seizure, the brain is working very hard to get itself back under control. The brain is highly active and this phase is called the post-ictal phase. Alcohol poisoning also can occur when adults or children accidentally or intentionally drink household products that contain alcohol.

Most of the time, seizures can last between 30 seconds to two minutes. If a seizure lasts close to five minutes or more, it becomes a medical emergency. But the amount of alcohol in one drink may be much higher than those in the difference between alcohol and ethanol the list above. For example, some craft beers may have four times the amount of alcohol that’s in a regular beer. Be aware of the alcohol content of what you’re drinking and adjust how much you drink based on this knowledge.

Alcohol can also impact how certain medications are absorbed by the body. Do not mix anti-seizure medication and alcohol without first speaking to a physician. A 2017 review found that a history of alcohol misuse increased the risk of post-traumatic epilepsy in people with traumatic brain injury.

Keep an eye out for temporary confusion, a staring spell, uncontrollable jerking, loss of consciousness, fear, anxiety or deja vu. Possible confounding variables that were included in the logistic regression model regarding the occurrence of alcohol-related seizures in patients alcohol and bipolar disorder with epilepsy within the last 12 months. Binge drinking is drinking too much at once or over long periods of time. Alcohol usually does not trigger seizures while the person is drinking. However, “withdrawal” seizures may occur 6 to 72 hours later, after drinking has stopped.

But in about half of people with epilepsy, there’s no apparent cause. You can work with your health care professional to balance seizure control and medicine side effects. Continuous data are presented as mean ± standard deviation (SD) or median where appropriate. Alcohol acts by stimulating receptors in your brain that cause brain activity to be suppressed.

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Typically, alcohol withdrawal symptoms happen for heavier drinkers. Alcohol withdrawal can begin within hours of ending a drinking session. Over half of those with alcohol withdrawal seizures may have repeat seizures, and up to 5% of cases may lead to status epilepticus.

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