alcoholic hallucinosis

アルコール幻覚症

WordNet

1. characteristic of or containing alcohol; "alcoholic drinks"
2. a person who drinks alcohol to excess habitually (同)alky, dipsomaniac, boozer, lush, soaker, souse
3. addicted to alcohol; "alcoholic expatriates in Paris"- Carl Van Doren (同)alcohol-dependent
4. any of a series of volatile hydroxyl compounds that are made from hydrocarbons by distillation
5. a liquor or brew containing alcohol as the active agent; "alcohol (or drink) ruined him" (同)alcoholic drink, alcoholic_beverage, intoxicant, inebriant
6. a mental state in which the person has continual hallucinations

PrepTutorEJDIC

1. アルコールの,アルコール性の / アルコールのはいった;アルコール漬けの / アルコール中毒の / アルコール中毒[患]者
2. 『アルコール』,酒精 / 『アルコール飲料』,酒

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2015/11/28 10:07:13」(JST)

wiki en

[Wiki en表示]

Alcoholic hallucinosis
Classification and external resources
Specialty	psychiatry
ICD-10	F10.5
ICD-9-CM	291.3
DiseasesDB	3543
eMedicine	article/289848

Alcoholic hallucinosis (or alcohol-related psychosis or alcohol-induced psychotic disorder) is a complication of alcohol withdrawal in alcoholics. Descriptions of the condition date back to at least 1907. They can occur during acute intoxication or withdrawal with the potential of having delirium tremens. Alcohol hallucinosis is a rather uncommon alcohol-induced psychotic disorder only being seen in chronic alcoholics who have many consecutive years of severe and heavy drinking during their lifetime. Alcoholic hallucinosis develops about 12 to 24 hours, and could very well last for days, after the heavy drinking stops suddenly. It involves auditory and visual hallucinations, most commonly accusatory or threatening voices. The risk of developing alcoholic hallucinosis is increased by long-term heavy alcohol abuse and the use of other drugs.

Cause

The cause of alcoholic hallucinosis is unclear. It seems to be highly related to the presence of dopamine in the limbic system with the possibility of other systems. There are many symptoms that could possibly occur before the hallucinations begin. Symptoms include headache, dizziness, irritability, insomnia, and indisposition. Typically, alcoholic hallucinosis has a sudden onset.

Alcoholic hallucinosis vs. delirium tremens

Both alcoholic hallucinosis and DTs have been thought of as different manifestations of the same physiological process in the body during alcohol withdrawal.Alcoholic hallucinosis is a much less serious diagnosis than delirium tremens. Delirium tremens (DTs) do not appear suddenly, unlike alcoholic hallucinosis. DTs also take approximately 48 to 72 hours to appear after the heavy drinking stops. A tremor develops in the hands and can also affect the head and body. A common symptom of delirium tremens is that people become severely uncoordinated. The biggest difference between alcoholic hallucinosis and delirium tremens is that alcoholic hallucinosis have a much better prognosis than DTs. Moreover, delirium tremens can be fatal when untreated.

Treatment

In general, alcohol abusers with withdrawal symptoms, such as alcoholic hallucinosis, have a deficiency of several vitamins and minerals and their bodies could cope with the withdrawal easier by taking nutritional supplements. Alcohol abuse can create a deficiency of thiamine, magnesium, zinc, folate and phosphate as well as cause low blood sugar. However, several tested drugs have shown the disappearance of hallucinations. Neuroleptics and benzodiazepines showed normalization. Common benzodiazepines are chlordiazepoxide and lorazepam. It’s been shown that management has been effective with a combination of abstinence from alcohol and the use of neuroleptics. It is also possible to treat withdrawal before major symptoms start to happen in the body. Diazepam and chlordiazepoxide have proven to be effective in treating alcohol withdrawal symptoms such as alcoholic halluciniosis. With the help of these specific medications, the process of withdrawal is easier to go through making alcoholic hallucinosis less likely to occur.

See also

• Alcohol dependence
• Alcohol withdrawal syndrome
• Seeing pink elephants

References

UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

• 1. 中等度および重度のアルコール離脱症候群のマネージメント management of moderate and severe alcohol withdrawal syndromes
• 2. 外来における医師監督下のアルコール離脱症状の治療 medically supervised alcohol withdrawal in the ambulatory setting

English Journal

• Association of gene polymorphisms encoding dopaminergic system components and platelet MAO-B activity with alcohol dependence and alcohol dependence-related phenotypes.

• Nedic Erjavec G1, Nenadic Sviglin K2, Nikolac Perkovic M1, Muck-Seler D1, Jovanovic T3, Pivac N4.
• Progress in neuro-psychopharmacology & biological psychiatry.Prog Neuropsychopharmacol Biol Psychiatry.2014 Oct 3;54:321-7. doi: 10.1016/j.pnpbp.2014.07.002. Epub 2014 Jul 15.
• The present study aimed to evaluate the association of alcohol dependence and alcohol dependence-related phenotypes with platelet monoamine oxidase type B (MAO-B) activity, Val108/158Met of catechol-o-methyltransferase (COMT), variable number of tandem repeats (VNTR) in the third exon of dopamine re
• PMID 25035107

• Dexmedetomidine in addition to benzodiazepine-based sedation in patients with alcohol withdrawal delirium.

• Lucyk S1, Hoffman RS, Nelson LS.
• European journal of emergency medicine : official journal of the European Society for Emergency Medicine.Eur J Emerg Med.2014 Oct;21(5):389-390.
• PMID 25159176

• Evaluation of a symptom-triggered protocol approach to the management of alcohol withdrawal syndrome in older adults.

• Taheri A1, Dahri K, Chan P, Shaw M, Aulakh A, Tashakkor A.
• Journal of the American Geriatrics Society.J Am Geriatr Soc.2014 Aug;62(8):1551-5. doi: 10.1111/jgs.12932. Epub 2014 Jun 24.
• OBJECTIVES: To evaluate whether implementation of symptom-triggered administration of a benzodiazepine protocol reduces the severity (total cumulative dose), duration, and complications of alcohol withdrawal syndrome (AWS).DESIGN: Retrospective health record review.SETTING: Tertiary care center in V
• PMID 24962514

Japanese Journal

• アルコール幻覚症からペラグラ脳症に移行した1女性例

• 馬場 奏子,馬場 元,大沼 徹 [他]
• 精神医学 46(12), 1283-1288, 2004-12
• NAID 40006548292

• 離脱期を過ぎても幻覚・妄想を認めたアルコール依存症について

• 奥田 正英,吉田 伸一,水谷 浩明
• アディクションと家族 21(1), 69-76, 2004-05
• NAID 40006235536

• 自家症例「急性アルコール中毒の場面複合幻覚」の描写に関する討議 : HENRY EYの論難に対して

• 小沼 十寸穂
• 日本アルコール・薬物医学会雑誌 = Japanese journal of alcohol studies & drug dependence 31(3), 226-234, 1996-06-28
• NAID 10007747454

Related Links

• Alcoholic hallucinosis - National Center for Biotechnology ...

Alcoholic hallucinosis is a rare complication of chronic alcohol abuse characterized by predominantly auditory hallucinations that occur either during or after a period of heavy alcohol consumption. Bleuler (1916) termed ...

• Alcoholic hallucinosis | definition of alcoholic hallucinosis by ...

alcoholic hallucinosis a form of alcoholic psychosis characterized primarily by auditory hallucinations occurring in a clear sensorium, abject fear, and delusions of persecution. The condition develops in acute alcoholism as withdrawal ...

Related Pictures

---

★リンクテーブル★

リンク元	「アルコール幻覚症」
関連記事	「alcoholic」「alcoholics」「alcohol」

「アルコール幻覚症」

　　[★]

英

alcoholic hallucinosis

関

[[]]

「alcoholic」

　　[★]

holic …中毒の人

• adj.

• アルコールの。アルコール性の。アルコール含有の。アルコール漬けの。アルコール腫による。アルコール中毒の

• n.

• 大酒飲み、アルコール中毒者。アルコール漬け標本

関

alcohol、alcoholics、alcoholism

　 　 　 　

「alcoholics」

　　[★]

• n

• アルコール中毒者、アルコール依存患者

関

alcoholic

関

also Fetal alcohol syndrome

「alcohol」

　　[★] アルコール

関

ethanol