Wednesday, June 12, 2019

Alcohol related seizure

Q: Seizures due to alcohol withdrawal are more prone to degenerate into status epilepticus? (select one)

A) True
B) False

Answer: B

Seizure due to alcohol withdrawal rarely progresses to status. If an alcoholic patient is found in status epilepticus, it should prompt clinicians to look for other etiologies of seizure. Another reliable clue is that seizure secondary to alcohol withdrawal usually stays unresponsive to phenytoin.




1. Kattimani S, Bharadwaj B. Clinical management of alcohol withdrawal: A systematic review. Ind Psychiatry J. 2013;22(2):100–108. 

2. Rathlev NK, D'Onofrio G, Fish SS, et al. The lack of efficacy of phenytoin in the prevention of recurrent alcohol-related seizures. Ann Emerg Med 1994; 23:513.

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