Chronic alcohol (ethanol) abuse causes neuroinflammation and brain damage that can give rise to alcoholic dementia. Insightfully, Dr. Albert Sun was an early proponent of oxidative stress as a key factor in alcoholism-related brain deterioration. In fact, oxidative stress has proven to be critical to the hippocampal and temporal cortical neurodamage resulting from repetitive or intermittent “binge” alcohol (ethanol) exposure in adult rat models. Although the underlying mechanisms are not certain, our immunoelectrophoretic and related assays in binge alcohol experiments in vivo (adult male rats) and in vitro (rat organotypic hippocampal-entorhinal cortical slice cultures) have implicated phospholipase A2 (PLA2)-activated neuroinflammatory pathways. The results further indicated that concomitant with PLA2 activation, binge alcohol elevated oxidative stress adducts (“oxidative footprints”) and, interestingly, poly(ADP-ribose) polymerase-1 (PARP-1), an oxidative stress-responsive, DNA repair enzyme linked to a non-apoptotic neuronal death process termed parthanatos. Also significantly increased by the alcohol treatments was aquaporin-4 (AQP4), a water channel enriched in astrocytes that, when augmented, can trigger brain edema and neuroinflammation. We further have found that supplementation of brain slice cultures with docosahexaenoic acid (DHA; 22:6 ω3) exerted potent protection against binge alcohol neurotoxicity, while precluding induced changes in PLA2 isoforms, AQP4, PARP-1 and oxidative stress footprints. The DHA results lend support to recommendations of ω3 “fish oil” supplementation in alcoholism withdrawal therapies.