New-onset Seizures Due to Heroin Addiction

Panda, Prateek Kumar; Sharawat, Indar Kumar; Choudhury, Shinjini

doi:10.4103/aian.aian_147_20

Cited by 2 publications

(7 citation statements)

References 10 publications

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“…As the opioid preparation (smack) is bought from a local peddler at cheap rates, adulteration is possible. 6 Cheap alternatives like barbiturates, benzodiazepines, and ketamine can be obtained in the market and are usually mixed with a smack, to increase the quantity and reduce the price per gram. While the patient is using smack in a dependent pattern, along with opioids, unknowingly he also becomes dependent on barbiturates and benzodiazepines, and sudden cessation of all of these leads to withdrawal seizure.…”

Section: Discussionmentioning

confidence: 99%

“…This concords with Panda et al and Basnayake et al who reported only transient/no use of anticonvulsants for managing seizures in opioid withdrawal. 6,8 Ambekar et al mentioned the role of OST in preventing opioid withdrawal and relapse. However, we highlight its role in preventing seizures related to withdrawal.…”

Section: Discussionmentioning

confidence: 99%

“…This often leads to the missing of this phenomenon or misdiagnosing it as an independent seizure or epilepsy disorder. 6,14…”

Section: Discussionmentioning

confidence: 99%

“…This concords with Panda et al and Basnayake et al who reported only transient/no use of anticonvulsants for managing seizures in opioid withdrawal. 6,8…”

Section: Discussionmentioning

confidence: 99%

“…Few studies have described complicated opioid withdrawal where a seizure occurred along with other features of opioid withdrawal. [6][7][8] Here we report eight cases of opioid use disorder that presented to our emergency department with episodes of seizures after cessation of opioid use. We try to investigate the various possible etiologies of seizures in opioid withdrawal and compare them with available national and international literature.…”

mentioning

confidence: 98%

See 4 more Smart Citations

The Missing Link Between Opioid Use Disorder and Seizures During Opioid Withdrawal: A Case Series from North India

Gondwal¹,

Avinash

Victor

et al. 2023

Indian Journal of Psychological Medicine

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…This often leads to the missing of this phenomenon or misdiagnosing it as an independent seizure or epilepsy disorder. 6,14…”

Section: Discussionmentioning

confidence: 99%

“…This concords with Panda et al and Basnayake et al who reported only transient/no use of anticonvulsants for managing seizures in opioid withdrawal. 6,8…”

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 98%

See 3 more Smart Citations

The Missing Link Between Opioid Use Disorder and Seizures During Opioid Withdrawal: A Case Series from North India

Gondwal¹,

Avinash

Victor

et al. 2023

Indian Journal of Psychological Medicine

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Burden and impact of substance abuse among epileptic patients attending epilepsy outpatient clinic

Abdou,

Karim,

Abozaid

et al. 2024

Egypt J Neurol Psychiatry Neurosurg

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Background To date, the burden and impact of substance use among epileptic patients were studied in a small number of studies and showed inconsistent findings, which may be attributed to the variation in age, test batteries, epilepsy subtypes, and substance use characteristics across research. The aim of the study was to determine the burden and impact of substance abuse among a sample of epileptic patients attending Alexandria University outpatient clinics. This study was conducted on 200 epileptic patients (100 male and 100 female patients). The diagnosis of epilepsy in those patients was confirmed by expert neurologists. Using the international league against epilepsy 2017 classification, they underwent a complete physical examination. EEG was done for all patients. Every patient was assessed using a semi-structured interview and a self-designed questionnaire to collect data concerning history of epilepsy, seizure type, EEG findings, as well as questions derived from the Addiction Severity Index (ASI). The Timeline between epilepsy and substance abuse, as well as the Effect of substance intake on epileptic seizures, were assessed. Results A total of 27 epileptic patients had a history of substance abuse; hence, the percentage of substance use among epileptic patients was 13.5%. Mean age in the male age group was (29.74 ± 11.52) years and (27.34 ± 9.35) years in females; mean seizure frequency per month was higher among males than females and this was statistically significant (P = 0.037*). More male (24%) than females (3%) had history of substance use and this was statistically significant (P < 0.001*). Regarding the Effect of substance intake on epileptic seizures, the male group (91.7%) had Seizure worsening, while in the female group, all three patients (100%) had seizures worsening with substance use. The mean Frequency of seizures was 4.48 ± 5.08 attacks per month for substance users and 2.49 ± 3.84 attacks per month for non-users; this was statistically significant. (t = 2.392) (P = 0.018*). Non-substance use patients had better compliance to treatment (79%) in comparison to 44.4%) of Substance use patients and this was statistically significant (P < 0.001*). Conclusion Drug abuse can have a negative impact on epilepsy in both sexes regarding seizure severity frequency, and even compliance with medication.

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New-onset Seizures Due to Heroin Addiction

Cited by 2 publications

References 10 publications

The Missing Link Between Opioid Use Disorder and Seizures During Opioid Withdrawal: A Case Series from North India

The Missing Link Between Opioid Use Disorder and Seizures During Opioid Withdrawal: A Case Series from North India

Burden and impact of substance abuse among epileptic patients attending epilepsy outpatient clinic

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