Persistent delirium following cessation of heavy alcohol consumption: Diagnostic and treatment implications

American Journal of Psychiatry

Volumn 154, Issue 6, 1997, Pages 846-851

  Hersh, David ^a   Kranzler, Henry R ^a   Meyer, Roger E ^a  

^a NONE

Author keywords

[No Author keywords available]

Indexed keywords

ALCOHOL; BARBITURIC ACID DERIVATIVE; BENZODIAZEPINE DERIVATIVE; CARBAMAZEPINE; CHLORDIAZEPOXIDE; DIAZEPAM; FOLIC ACID; HALOPERIDOL; LORAZEPAM; MAGNESIUM SULFATE; NEUROLEPTIC AGENT; OXAZEPAM; PARALDEHYDE; THIAMINE;

AGED; ALCOHOLISM; CASE REPORT; COMORBIDITY; CONFERENCE PAPER; DELIRIUM TREMENS; DIFFERENTIAL DIAGNOSIS; DISEASE COURSE; ELECTROENCEPHALOGRAM; HOSPITALIZATION; HUMAN; HYPOMAGNESEMIA; INTRAMUSCULAR DRUG ADMINISTRATION; KINDLING; KORSAKOFF PSYCHOSIS; MALE; METABOLIC DISORDER; NEURORADIOLOGY; ORAL DRUG ADMINISTRATION; PRIORITY JOURNAL; SUBDURAL HEMATOMA; WERNICKE ENCEPHALOPATHY;

EID: 0030973316     PISSN: 0002953X     EISSN: None     Source Type: Journal    
DOI: 10.1176/ajp.154.6.846     Document Type: Conference Paper

References (53)

1. Den Hartog GL: A Decade of Detox: Development of Non-Hospital Approaches to Alcohol Detoxification - A Review of the Literature: Substance Abuse Monograph Series. Jefferson City, Mo, Division of Alcohol and Drug Abuse, 1982
2. Keller M: The old and new in the treatment of alcoholism, in Alcohol Interventions. Edited by Strug DL, Priyadarsini S, Hyman MM. New York, Haworth Press, 1986, pp 23-40
3. Miller WR, Hester RK: Inpatient alcoholism treatment: who benefits? Am Psychol 1986; 41:794-805
4. Hayashida M, Alterman A, McLellan T, O'Brien CP, Purtill JJ, Volpicelli JR, Raphaelson AH, Hall CP: Comparative effectiveness and costs of inpatient and outpatient detoxification of patients with mild-to-moderate alcohol withdrawal syndrome. N Engl J Med 1989; 320:358-365
5. Nordstrom G, Berglund M: Delirium tremens: a prospective long-term follow up study. J Stud Alcohol 1988; 49:178-185
6. Sellers EM, Kalant H: Alcohol intoxication and withdrawal. N Engl J Med 1976; 294: 757-762
7. Adams R, Victor M: Principles of Neurology, 4th ed. New York, McGraw-Hill, 1989, pp 879-882
8. Wolf KM, Shaughnessy AF, Middleton DB: Prolonged delirium tremens requiring massive doses of medication. J Am Board Fam Pract 1993; 6:502-504
9. Guthrie SK: The treatment of alcohol withdrawal. Pharmacotherapy 1989; 9:131-143
10. Stendig-Lindberg G, Rudy N: Stepwise regression analysis of an intensive 1-year study of delirium tremens. Acta Psychiatr Scand 1980; 62:273-297
11. Miller FT: Protracted alcohol withdrawal delirium. J Subst Abuse Treat 1994; 11:127-130
12. Victor M, Adams RD: The effect of alcohol on the central nervous system. Res Publ Assoc Nerv Ment Dis 1953; 32:526-623
13. Cushman P Jr: Delirium tremens: update on an old disorder. Postgrad Med 1987; 82:117-122
14. Thompson WL: Management of alcohol withdrawal syndromes. Arch Intern Med 1978; 138:278-283
15. Feuerlein W, Reiser E: Parameters affecting the course and results of delirium tremens treatment. Acta Psychiatr Scand 1986; 329: 120-123
16. Naranjo CA, Sellers EM: Clinical assessment and pharmacotherapy of the alcohol withdrawal syndrome, in Recent Developments in Alcoholism, vol 4. Edited by Galanter M. New York, Plenum, 1986, pp 265-281
17. Folstein MF, Folstein SE, McHugh PR: "Mini-Mental State": a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975; 12:189-198
18. Barrett EJ, Gleser GC: Development and validation of the cognitive status examination. J Consult Clin Psychol 1987; 55:877-882
19. Isbell H, Fraser HF, Wilder A, Belleville RE, Eisenman AJ: An experimental study of the etiology of "Rum Fits" and delirium tremens. Lexington, Ky, National Institute of Mental Health, Addiction Research Center, US Public Health Service Hospital, 1953, pp 1-33
20. Reuler JB, Girard DE, Cooney TG: Medical Intelligence, vol 312, number 16. Portland, Oregon Health Sciences University and the Ambulatory Care and Medical Services, Veterans Administration Medical Center, 1985; pp 1035-1038
21. Wood B, Currie J: Presentation of acute Wernicke's encephalopathy and treatment with thiamine, in Metabolic Brain Disease. New York, Plenum, 1995, pp 57-72
22. Morgan MY: Alcohol and nutrition. Br Med Bull 1982; 21-29
23. Diamond I, Messing RO: Neurologic effects of alcoholism. West J Med 1994; 161:279-287
24. Victor M, Adams RD, Collins GH: The Wernicke-Korsakoff Syndrome. Philadelphia, FA Davis, 1971
25. Jaffe JH, Kranzler HR, Ciraulo D: Drugs used in the treatment of alcoholism, in Medical Diagnosis and Treatment of Alcoholism. Edited by Mendelson JH. New York, McGraw-Hill, 1992, pp 421-461
26. McMicken DB: Alcohol withdrawal syndromes. Emerg Med Clin North Am 1990; 8: 805-819
27. Sellers EM, Kalant H: Pharmacotherapy of acute and chronic alcoholism and alcohol withdrawal syndrome, in Principles of Psychopharmacology. Edited by Clark WG, Del-Giudice J. New York, Academic Press, 1978, pp 721-740
28. Thompson WL, Johnson AD, Maddrey WL: Diazepam and paraldehyde for treatment of severe delirium tremens: a controlled trial. Ann Intern Med 1975; 82:175-180
29. Hemmingsen R, Kramp P: Delirium tremens and related clinical states: psychopathology, cerebral pathophysiology and psychochemistry: a two-component hypothesis concerning etiology and pathogenesis. Acta Psychiatr Scand Suppl 1988; 345:94-107
30. Volicer L, Biagioni TM: Effect of ethanol administration and withdrawal on benzodiazepine receptor binding in the rat brain. Neuropharmacology 1982; 21:283-286
31. Nutt D, Adinoff B, Linnoila M: Benzodiazepines in the treatment of alcoholism. Recent Dev Alcohol 1989; 7:283-313
32. Kramp P, Hemmingsen R, Rafaelsen OJ: Delirium tremens: some clinical features, part II. Acta Psychiatr Scand 1979; 60:405-422
33. Kanzow WT: The clinical stages of alcoholic delirium and their therapeutic significance. Acta Psychiatr Scand 1986; 73:124-128
34. Beroz E, Conran P, Blanchard RW: Parenteral magnesium in the prophylaxis and treatment of delirium tremens. Am J Psychiatry 1962; 118:1042-1043
35. Sullivan JF, Wolpert PW, Williams R, Egan JD: Serum magnesium levels in chronic alcoholism. Ann NY Acad Sci 1969; 162:947-962
36. Hoes MJ: The significance of the serum levels of vitamin B-1 and magnesium in delirium tremens and alcoholism. J Clin Psychiatry 1979; 40:476-479
37. Beroz E, Conran P, Blanchard RW: Parenteral magnesium and delirium tremens (letter). Am J Psychiatry 1962; 119:482
38. Wilson A, Vulcano B: A double-blind, placebo-controlled trial of magnesium sulfate in the ethanol withdrawal syndrome. Alcohol Clin Exp 1984; 8:542-545
39. Jermain DM, Crismon ML, Nisbet RB: Controversies over the use of magnesium sulfate in delirium tremens. Ann Pharmacother 1992; 26:650-652
40. Essardas Daryanani H, Santolaria FJ, Gonzalez Reimers E, Jorge JA, Batista Lopez N, Martin Hernandez F, Martinez Riera A, Rodriguez Rodriguez E: Alcohol withdrawal syndrome and seizures. Alcohol Alcohol 1994; 29:323-328
41. Ballenger JC, Post RM: Kindling as a model for alcohol withdrawal syndromes. Br J Psychiatry 1978; 133:1-14
42. Malcolm R, Ballenger JC, Sturgis ET, Anton R: Double-blind controlled trial comparing carbamazepine to oxazepam treatment of alcohol withdrawal. Am J Psychiatry 1989; 146:617-621
43. Stuppaeck CH, Psycha R, Miller C, Whitworth AB, Oberbauer H, Fleischhacker WW: Carbamazepine versus oxazepam in the treatment of alcohol withdrawal: a double-blind study. Alcohol Alcohol 1992; 27:153-158
44. Lipowski ZJ: Medical intelligence: delirium in the elderly patient. N Engl J Med 1989; 320: 578-582
45. Beresin EV: Delirium in the elderly. J Geriatr Psychiatry Neurol 1988; 1:127-143
46. Steinhart MJ: The use of haloperidol in geriatric patients with organic mental disorder. Curr Ther Res 1983; 33:132-143
47. Mahler ME, Cummings JL, Benson DF: Treatable dementias. West J Med 1987; 146:705-712
48. Brandt J, Butters N, Ryan C, Bayog R: Cognitive loss and recovery in long-term alcohol abusers. Arch Gen Psychiatry 1983; 40:435-442
49. Fox JH, Ramsey RG, Huckman MS, Proske AE: Cerebral ventricular enlargement: chronic alcoholics examined by computerized tomography. JAMA 1976; 236:365-368
50. Charness ME, DeLaPaz RL: Mamillary body atrophy in Wernicke's encephalopathy: antemortem identification using magnetic resonance imaging. Ann Neurol 1987; 22:595-600
51. Mensing JWA, Hoogland PH, Slooff JL: Computed tomography in the diagnosis of Wernicke's encephalopathy: a radiological-neuropathological correlation. Ann Neurol 1984; 16:363-365
52. Brenner RP: The electroencephalogram in altered states of consciousness. Neurol Clin 1985; 3:615-631
53. Lipowski ZJ: Delirium: Acute Brain Failure in Man. Springfield, Ill, Charles C Thomas, 1980