The “forgotten” treatment of alcohol withdrawal delirium with electroconvulsive therapy: successful use in a very prolonged and severe case

<b>Objective</b><p>Alcohol withdrawal delirium (AWD) is a notorious complication in alcohol withdrawal. Usually, the symptomatic treatment is efficacious; however, some patients show treatment resistance or a prolonged course of AWD.</p><b>Method</b><p>We re...

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Bibliographic Details
Main Authors: Kranaster, Laura (Author) , Janke, Christoph (Author)
Format: Article (Journal)
Language:English
Published: 2017/07/01
In: Clinical neuropharmacology
Year: 2017, Volume: 40, Issue: 4, Pages: 183-184
ISSN:1537-162X
DOI:10.1097/WNF.0000000000000224
Online Access:Verlag, Volltext: http://dx.doi.org/10.1097/WNF.0000000000000224
Verlag, Volltext: https://insights.ovid.com/crossref?an=00002826-201707000-00008
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Author Notes:Laura Kranaster, Suna Su Aksay, Jan Malte Bumb, Christoph Janke, and Alexander Sartorius

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520 |a <b>Objective</b><p>Alcohol withdrawal delirium (AWD) is a notorious complication in alcohol withdrawal. Usually, the symptomatic treatment is efficacious; however, some patients show treatment resistance or a prolonged course of AWD.</p><b>Method</b><p>We report the case of a patient with a prolonged and severest form of AWD. Even 11 weeks after admission, he received approximately 100 mg diazepam per week to manage the symptoms of withdrawal delirium.</p><b>Results</b><p>A treatment course of electroconvulsive therapy was initiated, which allowed a complete tapering off of benzodiazepines during electroconvulsive therapy without adverse effects.</p><b>Conclusions</b><p>The reported case might contribute to alternative approaches reserved for severest forms of prolonged AWD.</p> 
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