慢性酒精中毒致癫痫发作54例临床分析

A Clinical Analysis of 54 Patients with Epilepsy Due to Chronic Alcoholism

目的探讨慢性酒精中毒致癫痫发作情况及治疗方法。方法对由酒精中毒致癫痫发作共54例(21.51%)患者进行临床分析。结果病人多为长期大量酗酒并对酒精有高度耐受性。癫痫发作多与突然断酒或急剧增减酒量有关。发作类型均为癫痫大发作。抽搐后转入震颤谵妄占46.30%。脑电图缺乏特异性癫痫波型。病人多合并有多种躯体疾病。结论酒精中毒致癫痫发作治疗上用抗痫剂、对症及营养支持治疗、心理治疗,近期疗效较好。

Objective To explore the clinical conditions and treatments of the epilepsy due to chronic alcoholism. Methods The data of 54 patients with mental disorder due to chronic alcoholism were analyzed. Results Most patients had drunk for a long time and had tolerance to the alcohol. Epileptic attack was related to temperance or drunk, they were all grand mal. There are 25 （46.30%） patients of them occurred delirium tremnens after tic. EEG was not specific. Most of the patients have many physical diseases. Conclusions Anti-epileptic, expectant treatment, nutritional support, and is effective on epilepsy due to alcoholism.