ГоловнаArchive of numbers2019Volume 27, issue 1 (98)The predictive value of biting the tongue during convulsive seizures in patients with delirium tremens
Title of the article The predictive value of biting the tongue during convulsive seizures in patients with delirium tremens
Authors Zadorozhnyi Volodymyr
Year 2019 Issue Volume 27, issue 1 (98) Pages 35-39
Type of article Scientific article Index UDK 616-009.24:616.892 Index BBK -
Abstract The goal is to investigate the correlation of tongue biting during convulsive seizures in patients with delirium tremens (DT) with the fundamental clinical indicators — the outcome of the disease and the duration of the period of mental disorders. Of the 527 patients with DT, three groups were formed: individuals with DT with convulsive seizures and the presence of tongue biting (main group), patients with DT and seizures without biting the tongue, and patients with DT who did not have seizures (comparison groups). The main group of patients recruited by random selection. Comparison groups are formed in such a way that the average age of patients, as well as the psychopathological and somatic manifestations of DT assessed on the DRS rating scale, are comparable to those in the main group. In patients of all groups, attention was paid to the state of the skeletal muscular system. The ratio of urea : creatinine was determined. In patients with DT, tongue biting during convulsive seizures correlates with a significantly shorter period of mental disorders and better survival (compared with patients without convulsive seizures and individuals with convulsive seizures without biting the tongue). For patients with DT with a bite of the tongue during convulsive seizures, a less common chronic alcoholic myopathy is characteristic. They found a signifi cantly lower value of the ratio of urea : creatinine.
Key words convulsive seizures, tongue biting, patient survival, deli rium tremens
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Bibliography 1. Value of tongue biting in the diagnosis of seizures / Benbadis S. R., Wolgamuth B. R., Goren H. [et al.] // Arch Intern Med. 1995 Nov 27; 155 (21): 2346—9. PubMed PMID: 7487261. 2. The diagnostic value of oral lacerations and incontinence during convulsive "seizures" / Oliva J., Pattison C., Carino J. [et al.] // Epilepsia. 2008. Vol. 49, Is. 6, June, P. 962—967. DOI: 10.1111/j.1528-1167.2008.01554.x. 3. Brigo F., Nardone R., Bongiovanni L. G. Value of tongue biting in the differential diagnosis between epileptic seizures and syncope // Seizure. 2012. October, Vol. 21, Is. 8. P. 568—572. URL : https: // doi.org/10.1016/j.seizure.2012.06.005. 4. Akor F., Liu N. M., Besag F. M., Ahmed M. A. Value of tongue biting in differentiating between epileptic seizures and syncope // Ibid. 2013 May; 22 (4): 328. DOI: 10.1016/j.seizure.2013.01.004. 5. Christoffersen S. Death from seizures induced by chronic alcohol abuse — does it exist? // Ibid. 2007. Vol. 16, Issue 5. P. 379—383. DOI: 10.1016/j.seizure.2007.02.013. 6. Clinical predictors for delirium tremens in patients with alcohol withdrawal seizures / Kim D. W., Kim H. K., Bae E. K. [et al.] // Am J Emerg Med. 2015 May; 33(5): 701—4. DOI: 10.1016/j. ajem.2015.02.030. 7. Trzepacz P. T., Baker R. W., Greenhouse J. A symptom rating scale for delirium // Psychiatry Res. 1988 Jan; 23(1): 89—97. PubMed PMID: 3363018. 8. Validation of the Delirium Rating Scale-Revised-98: comparison with the delirium rating scale and the cognitive test for delirium / Trzepacz P. T., Mittal D., Torres R. [et al.] // J Neuropsychiatry Clin Neurosci. 2001 Spring; 13(2): 229—42. DOI: 10.1176/jnp.13.2.229. 9. Задорожный В. В. Шкала оценки длительности алко- гольного делирия. В сб.: Матеріали XVIII Української наук.- практ. конф. «Довженківські читання». Х. : «Плеяда», 2018. С. 51—52. 10. Salum J. Delirium tremens and certain other acute sequels of alcohol abuse. A comparative clinical, social and prognostic study // Acta psychiatr. Scand. 1972. Suppl. 235: 1—145. PubMed PMID: 4508788. 11. Clinical biochemistry of epilepsy. I. Nature of the disease and a review of the chemical findings in epilepsy / Natelson S., Miletich D. J., Seals C. F. [et al.] // Clin Chem. 1979 Jun; 25(6): 889—97. PubMed PMID: 221136. 12. Higgins C. Urea and creatinine concentration, the urea : crea ti ni ne ratio. Available at : www.acutecaretesting.org October 2016. 13. Биохимия и алкоголизм (II): биохими чес кие показа- тели при тяжелом алкогольном абстинентном синдроме / Рослый И. М., Абрамов С. В., Ахметов Р. Р. [и др.] // Вопросы наркологии. 2004. № 3. С. 69—78. 14. Забродина Е. С., Рослый И. М, Водолажская М. Г. Алко- гольный абстинентный синдром в лабораторных показателях // Фундаментальные исследования в биологии и медицине : сб. науч. тр. Вып. 3. Ставрополь : Изд-во СевКавГТУ, 2007. С. 150—153.