Protracted alcohol withdrawal delirium.
Protracted alcohol withdrawal delirium is infrequent, but when it occurs significant morbidity can be anticipated. In this report, a case of protracted alcohol withdrawal delirium is presented. The patient's course was complicated by intracerebral and subdural hemorrhages, sedative-hypnotic drug synergism resulting in respiratory compromise, the failure of benzodiazepines to prevent delirium or shorten its duration, and the onset of Wernicke's encephalopathy.
Miller
F T
FT
Department of Clinical Psychiatry, Cornell University Medical College-The New York Hospital.
D000430:Alcohol Withdrawal Delirium / Q000188:drug therapy / Q000209:etiology*; D000437:Alcoholism / Q000534:rehabilitation*; D002697:Chloral Hydrate / Q000008:administration & dosage; D002707:Chlordiazepoxide / Q000008:administration & dosage; D003131:Combined Modality Therapy; D006801:Humans; D008140:Lorazepam / Q000008:administration & dosage; D008297:Male; D008609:Mental Status Schedule; D008875:Middle Aged; D009460:Neurologic Examination / Q000187:drug effects; D011604:Psychoses, Alcoholic / Q000188:drug therapy / Q000209:etiology; D012008:Recurrence; D012131:Respiratory Insufficiency / Q000188:drug therapy / Q000209:etiology; D016320:Substance Abuse Treatment Centers; D014899:Wernicke Encephalopathy / Q000188:drug therapy / Q000209:etiology
D002697:Chloral Hydrate; D002707:Chlordiazepoxide; D008140:Lorazepam