Alcool et épilepsie : une illustration clinique entre convulsions de sevrage et neuroborréliose

Gheorghiev, Charles; Montleau, Franck de; Defuentes, G.

doi:10.1016/j.encep.2010.10.004

Cited by 6 publications

(3 citation statements)

References 38 publications

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“…The prevalence of substance abuse in LB patients is 33% (LB-H) [ 12 ], 28% (suicidal and homicidal) [ 48 ] and 10% (LB-C) [ 12 ]. It is understandable that some LB patients who have been inadequately diagnosed and treated may develop impaired dopamine functioning, become anhedonic, have significant disease progression and self-medicate their psychiatric symptoms and pain, then become dependent, lose a sense of purpose and engage in drug-seeking behavior with benzodiazepines, hypnotics, alcohol, pain medication and marijuana and a few cases which have addressed substance use associated with LB have been reported [ 124 , 125 , 126 , 127 , 128 , 129 , 130 , 131 ].…”

Section: Resultsmentioning

confidence: 99%

Neuropsychiatric Lyme Borreliosis: An Overview with a Focus on a Specialty Psychiatrist’s Clinical Practice

Bransfield

2018

Healthcare

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There is increasing evidence and recognition that Lyme borreliosis (LB) causes mental symptoms. This article draws from databases, search engines and clinical experience to review current information on LB. LB causes immune and metabolic effects that result in a gradually developing spectrum of neuropsychiatric symptoms, usually presenting with significant comorbidity which may include developmental disorders, autism spectrum disorders, schizoaffective disorders, bipolar disorder, depression, anxiety disorders (panic disorder, social anxiety disorder, generalized anxiety disorder, posttraumatic stress disorder, intrusive symptoms), eating disorders, decreased libido, sleep disorders, addiction, opioid addiction, cognitive impairments, dementia, seizure disorders, suicide, violence, anhedonia, depersonalization, dissociative episodes, derealization and other impairments. Screening assessment followed by a thorough history, comprehensive psychiatric clinical exam, review of systems, mental status exam, neurological exam and physical exam relevant to the patient’s complaints and findings with clinical judgment, pattern recognition and knowledgeable interpretation of laboratory findings facilitates diagnosis. Psychotropics and antibiotics may help improve functioning and prevent further disease progression. Awareness of the association between LB and neuropsychiatric impairments and studies of their prevalence in neuropsychiatric conditions can improve understanding of the causes of mental illness and violence and result in more effective prevention, diagnosis and treatment.

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Section: Resultsmentioning

confidence: 99%

Neuropsychiatric Lyme Borreliosis: An Overview with a Focus on a Specialty Psychiatrist’s Clinical Practice

Bransfield

2018

Healthcare

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“…Heavy alcohol consumption has multiple negative consequences for people with epilepsy such as precipitation of seizure, exacerbation of seizure, worsening of seizure control, increased side effects of antiepileptic drugs, noncompliance to antiepileptic drugs, alcohol withdrawal seizures, long-term hospital admission, status epilepticus (9%–25%), sudden unexpected death, and premature mortality 12,15–17…”

Section: Introductionmentioning

confidence: 99%

Prevalence of alcohol use disorders and associated factors among people with epilepsy attending Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia

Waja

Ebrahim

Yohannis

et al. 2016

NDT

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IntroductionAlcohol use disorders represent one of the leading causes of preventable death, illness, and injury in many societies throughout the world. Heavy alcohol consumption has multiple negative consequences for people with epilepsy such as precipitation of seizure, exacerbation of seizure, poor seizure control, increased side effects of antiepileptic drugs, noncompliance to antiepileptic drugs, alcohol withdrawal seizures, long-term hospital admission, status epilepticus, sudden unexpected death, and premature mortality.MethodsAn institution-based cross sectional study was conducted from April 15, 2014 to May 15, 2014 with the aim of assessing prevalence of alcohol use disorders and associated factors among people with epilepsy attending Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia. A total of 413 randomly selected epileptic patients were included in this study. Data were structured using the 10-item Alcohol Use Disorders Identification questionnaire. Data were analyzed using SPSS Version 20. Bivariate and multivariate logistic regression analyses were performed to study the association, and variables with P-value <0.05 were considered as having a statistically significant association at 95% confidence interval.ResultsA total of 423 study participants were selected, of whom 413 completely filled the questionnaire making the response rate 97.6%. The mean age of the respondents was 31.9 years with standard deviation of ±10.97, and 248 (60%) were males. The prevalence of alcohol use disorder was 17.4%. Educational status (grade 9–12) (adjusted odds ratio [AOR] =3.25, [1.21, 8.69]), not living with family members (AOR =1.89, [1.06, 3.39]), availability of house (AOR =2.04, [1.10, 3.78]), taking carbamazepine (AOR =2.38, [1.13, 5.01]), and drinking alcohol to find relief from stress (AOR =4.28, [1.89, 9.67]) were significantly associated with alcohol use disorder among people with epilepsy.Conclusion and recommendationThe findings of this study revealed that the prevalence of alcohol use disorder among people with epilepsy was high. Routine screening of epileptic patients with the Alcohol Use Disorders Identification Test is recommended.

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“…Infectious diseases, including Acquired Immune Deficiency Syndrome, tuberculosis, and COVID-19, contribute to substance abuse and addictive disorders [ [1] , [2] , [3] ]. Lyme disease/Lyme borreliosis (LD) and addictive disorders have been reviewed [ 4 ], and studies show an association between LD and substance abuse [ [5] , [6] , [7] , [8] ], with some people becoming dependent upon psychoactive substances [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Late-stage borreliosis and substance abuse

Bransfield,

Goud Gadila,

Kursawe

et al. 2024

Heliyon

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Alcool et épilepsie : une illustration clinique entre convulsions de sevrage et neuroborréliose

Cited by 6 publications

References 38 publications

Neuropsychiatric Lyme Borreliosis: An Overview with a Focus on a Specialty Psychiatrist’s Clinical Practice

Neuropsychiatric Lyme Borreliosis: An Overview with a Focus on a Specialty Psychiatrist’s Clinical Practice

Prevalence of alcohol use disorders and associated factors among people with epilepsy attending Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia

Late-stage borreliosis and substance abuse

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