Alcohol-Related Seizures in the Intensive Care Unit

Abstract

Alcohol-related seizures (ARS) are a common phenomenon in the intensive care unit. This chapter reviews the incidence, diagnostic criteria for alcohol use disorders, and management of ARS the ICU setting. Electrographic findings associated with ARS as well as genetic polymorphisms are defined, along with the pathophysiology of ARS. Review of previous literature and outcomes of treatment of ARS are presented. Critical care dilemmas including the management of behavioral and agitation issues are described as well as the choices and mechanisms of antiepileptic therapy available for management of these critically ill patients.