Original Research 


Clinical and socio-demographic profile of patients presenting with Alcohol Related Seizures in a rural area with liquor ban

Chinmaye Sapre, Jagdish Varma, Soaham Desai, Himanshu Pandya.

Abstract
Background: The term “Alcohol related seizures” (ARS) represents all seizures occurring in the context of alcohol use including Alcohol Withdrawal Seizures (AWS). ARS are most commonly attributed to alcohol withdrawal but there are studies indicating various other causes. The study aimed to study the socio-demographic and clinical profile of patients presenting with ARS and possible reasons for alcohol consumption, in a state with liquor ban.
Methods: Participants included patients presenting with history of seizures and alcohol use without previous diagnosis of epilepsy to a rural teaching hospital. Socio-demography, alcohol use profile and the last intake of alcohol was collected. The reasons for alcohol consumption were measured using Drinking Motive Questionnaire-Revised (DMQ-R). Metabolic workup, imaging studies and electroencephalogram (EEG) were done based on clinical judgment. We analyzed data using uni-variate analysis.
Results: Thirty-eight patients were included and analyzed. Country liquor was most frequently consumed (63%) in a frequent-low pattern. Coping was the highest cited reason for drinking (mean=12.87). Generalized tonic-clonic seizures was the most common presentation. One third of the participants had AWS, almost half had identifiable causes and rest had dual diagnosis (AWS + identifiable causes). Quantity Frequency (QF) and presence of symptoms of alcohol withdrawal on presentation were significantly associated with AWS (p value: 0.005). Abnormal neuroimaging was observed in 33% of patients and abnormal EEG in 14% of patients.
Conclusion: Illicit country liquor use is not uncommon in this region. QF measure of consumption, history of symptoms of alcohol withdrawal on presentation and normal metabolic parameters are good indicators to differentiate AWS from other causes. EEG should not be routinely used for patients with ARS.

Key words: Alcohol Related Seizures, Alcohol Withdrawal Seizures, Reasons for drinking


 
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How to Cite this Article
Pubmed Style

CS, Varma J, Desai S, Pandya H. Clinical and socio-demographic profile of patients presenting with Alcohol Related Seizures in a rural area with liquor ban. JHSPE. 2021; 1(2): 58-63. doi:10.5455/jhspe.20210715041356


Web Style

CS, Varma J, Desai S, Pandya H. Clinical and socio-demographic profile of patients presenting with Alcohol Related Seizures in a rural area with liquor ban. https://www.jhspe.in/?mno=97488 [Access: April 05, 2022]. doi:10.5455/jhspe.20210715041356


AMA (American Medical Association) Style

CS, Varma J, Desai S, Pandya H. Clinical and socio-demographic profile of patients presenting with Alcohol Related Seizures in a rural area with liquor ban. JHSPE. 2021; 1(2): 58-63. doi:10.5455/jhspe.20210715041356



Vancouver/ICMJE Style

CS, Varma J, Desai S, Pandya H. Clinical and socio-demographic profile of patients presenting with Alcohol Related Seizures in a rural area with liquor ban. JHSPE. (2021), [cited April 05, 2022]; 1(2): 58-63. doi:10.5455/jhspe.20210715041356



Harvard Style

, C. S., Varma, . J., Desai, . S. & Pandya, . H. (2021) Clinical and socio-demographic profile of patients presenting with Alcohol Related Seizures in a rural area with liquor ban. JHSPE, 1 (2), 58-63. doi:10.5455/jhspe.20210715041356



Turabian Style

, Chinmaye Sapre, Jagdish Varma, Soaham Desai, and Himanshu Pandya. 2021. Clinical and socio-demographic profile of patients presenting with Alcohol Related Seizures in a rural area with liquor ban. Journal of Health Sciences and Professions Education, 1 (2), 58-63. doi:10.5455/jhspe.20210715041356



Chicago Style

, Chinmaye Sapre, Jagdish Varma, Soaham Desai, and Himanshu Pandya. "Clinical and socio-demographic profile of patients presenting with Alcohol Related Seizures in a rural area with liquor ban." Journal of Health Sciences and Professions Education 1 (2021), 58-63. doi:10.5455/jhspe.20210715041356



MLA (The Modern Language Association) Style

, Chinmaye Sapre, Jagdish Varma, Soaham Desai, and Himanshu Pandya. "Clinical and socio-demographic profile of patients presenting with Alcohol Related Seizures in a rural area with liquor ban." Journal of Health Sciences and Professions Education 1.2 (2021), 58-63. Print. doi:10.5455/jhspe.20210715041356



APA (American Psychological Association) Style

, C. S., Varma, . J., Desai, . S. & Pandya, . H. (2021) Clinical and socio-demographic profile of patients presenting with Alcohol Related Seizures in a rural area with liquor ban. Journal of Health Sciences and Professions Education, 1 (2), 58-63. doi:10.5455/jhspe.20210715041356