Alcoholic hallucinations

Introduction Alcoholic hallucinations can occur when a sudden withdrawal occurs after a long period of excessive drinking. Often scolding and intimidating verbal illusory hallucinations and illusions, patients are often very worried about this and can be terrified by lifelike nightmares and delusions. There is generally no mental disorder and a typical history of schizophrenia.

Cause

Sudden withdrawal after a long period of excessive drinking.

Long-term alcoholics stop drinking and usually have a series of symptoms and signs after 12 to 48 hours. Mild withdrawal syndrome manifests as tremors, fatigue, sweating, hyperreflexia, and gastrointestinal symptoms. Some people also have epileptic seizures, but generally do not attack more than 2 times in the short term (alcoholic epilepsy or wine cellar).

an examination

Related inspection

Brain ultrasound examination EEG examination

Tremors often occur after 48 to 72 hours of alcohol withdrawal, manifested as anxiety attacks, increasingly conscious turbidity, poor sleep (with nightmares or nocturnal hallucinations), sweating and deep depression. Patients often feel restless and fearful because of the illusion of constant flashing. The typical state of initial paralysis, turbidity and insufficiency is the reproduction of daily habits; for example, patients often imagine themselves going to work again and trying to engage in certain related activities. At this time, in addition to sputum, accompanied by instability of the autonomic nervous system, manifested as sweating, increased heart rate and elevated body temperature, the severity of which increased with the progression of sputum. Mild sputum can have obvious sweating, heart rate is 100~120 beats/min, body temperature is 37. 2~37. 8 °C. Significantly, the orientation was incomplete, the cognitive function was impaired, accompanied by obvious restlessness, the heart rate exceeded 120 beats/min, and the body temperature exceeded 37. 8 °C.

Differential diagnosis

Need to be identified with the following symptoms:

Alcoholic hallucinations: Alcoholic disorders, consisting of more or less simple auditory hallucinations, are a special type. Kraepelin calls it alcoholic hallucinations or alcoholic mental mania.

Alcohol Toxic Paranoid Status: Patients with chronic alcoholism have suspicions about their spouses. They often show suspicion and can also be seen. The suspicion of this type of case is that chronic schizophrenia is only a coincidence with chronic alcoholism.

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