Epilepsy and Alcohol: Triggers and Safe Drinking

There are many types of seizures, and they have a range of symptoms and severity. Seizure types vary by where they begin in the brain and how far they spread. Independent predictors for alcohol consumption within the last 12 months.

Alcohol-Induced Seizures: Why Does Alcohol Cause Seizures?

Thus, evidence for cortical atrophy on CT scan of the brain can be used to identify patients with high risk for clustering and having unprovoked seizures. All subjects gave informed written consent to participate in the study and approval of the Institutional Ethics committee was obtained. We collected details of alcohol use and seizures from patient and a reliable informant in case the patient was in delirium. Withdrawal symptoms and its temporal relationship with seizure were also assessed.

Is It Safe to Drink Alcohol if You Have Epilepsy?

Human and animal data have shown that acute alcohol intake has a biphasic effect on the central nervous system (CNS). Initially, the inhibitory gamma-aminobutyric acid (GABA)-ergic effect of alcohol exerts CNS depressant and anticonvulsant properties (4, 5). In the post-alcohol state, however, when alcohol blood levels decline, neuronal excitability is increased which may facilitate the occurrence of seizures in patients with epilepsy (6, 7). You could have alcohol withdrawal seizures if you often drink large amounts of alcohol and stop drinking suddenly.

Alcohol and Seizures

  1. They usually appear within 48 hours after abrupt cessation, and are characterized by a reduction in seizure threshold secondary to adaptation to alcohol.
  2. Seizure medicines can lower your tolerance for alcohol, so the immediate effects of alcohol consumption are greater.
  3. They also may be caused by an infection such as meningitis or another illness.
  4. That will help you decide on the best plan to stop drinking, with support which can include specific prescription medication to take during your withdrawal.
  5. Alcoholic neuropathy occurs when too much alcohol damages the peripheral nerves.

Alcohol itself does not normally cause seizures, but during withdrawal, when the suppressive activity of alcohol is removed, your brain will be more susceptible to seizures than it normally would. There are some specific considerations that may affect your risk of seizures when using alcohol. Once clarity is achieved, assessment of the risk of alcohol consumption in different clinical situations will be an effective step for the prevention of epilepsy in the general population. Alcohol consumption usually represents a taboo in the doctor-patient relationship and questions on the smoking status are answered more easily. Therefore, subjects were first queried about nicotine consumption and only later asked to give details on alcohol use. Toward the end of the interview, patients were questioned on illicit drugs.

Neurologic effects of alcohol

Fetal alcohol syndrome can occur when a person is exposed to alcohol before birth. Up to 46 percent of people with alcohol-related myopathy showed noticeable reductions in strength compared with people without the condition. Cerebellar degeneration caused by alcohol occurs when neurons in the cerebellum deteriorate and die. The cerebellum is the part of the brain that controls coordination and balance. This is a severe and short-term neurologic disease that can be life threatening.

Boca Recovery Center is here to provide the best quality care in the treatment of drug and alcohol addiction. More than a third of people with AUD that began more than a year ago are now in full recovery.[8] With treatment, people can develop new habits and stop experiencing alcohol-related seizures. Since alcohol-induced seizures often repeat, consider this a medical emergency. Call 911 and tell the operator you think the person is experiencing an alcohol seizure. The emergency operator will often direct you on further steps to take. Sometimes, those changes are so strong that they disrupt normal electrical communication between cells.

Nerve cells in the brain, known as neurons, create, send and receive electrical impulses. Anything that disrupts the communication pathways can lead to a seizure. Join the conversation today to share your experiences your guide to cocaine withdrawal symptoms and recovery and connect with others on MyEpilepsyTeam. They may refer you to a service to help you safely reduce the amount you drink. We have more information on going out, alcohol and recreational drugs on The Epilepsy Space.

They are potentially dangerous and should be treated as a serious warning sign that you are drinking too much. Alcohol abuse is the biggest risk factor causing road collisions and injuries, according to the Canadian Medical Association (CMA). When excessive consumption of alcohol leads to missed medications (particularly if the omission is combined with inadequate sleep, irregular meals and emotional turmoil), seizures are almost certain to follow. When it comes to the risks surrounding seizures and alcohol, one of the main ones to consider is a genetic risk or family history of epilepsy or other convulsive disorders. The fact is that alcohol and epilepsy can have some pretty negative reactions. One of these negative reactions is the possible raised risk of seizures.

And if you’re experiencing these symptoms several days a week, it’s very likely you are already dependent on alcohol. For the safe amount of ethanol in cases such as this be sure to consult a doctor. MRI of the brain done in 12 patients with a partial semiology for their seizure identified one case of focal cortical dysplasia, which was missed in CT scan of the brain. MRI has a higher yield over CT for identifying lesions in patients with alcohol related partial seizures. Whether to drink alcohol or take recreational drugs is a personal choice, but it is worth knowing the possible effects they could have on your epilepsy. They usually appear within 48 hours after abrupt cessation, and are characterized by a reduction in seizure threshold secondary to adaptation to alcohol.

He had no history of myoclonic jerks or absence seizures and probably had IGE with GTCS. Considering all alcohol induced seizures as unmasking of late onset IGE would be unwise. IGE is more likely to be detected in this subgroup of patients who have seizures within 6 h of alcohol intake and without any withdrawal symptoms. Binge drinking and alcohol withdrawal together can cause seizures, even in people not previously diagnosed with epilepsy. Binge drinking refers to a scenario where you drink a lot in a short period of time, and the seizures related to binge drinking can stem from withdrawal.

This is because the neurons are not able to fire as rapidly once the drink is introduced to the system. In larger doses though, there is an increased risk that there will be a chemical imbalance which leads to an alcohol seizure. Another one of the big reasons people with epilepsy are warned not to consume alcohol is that many of the anti-seizure and anti-epileptic drugs that treat epilepsy do not mix well with alcohol.

Antiepileptic drug monotherapy (OR 1.901) and physicians’ advice that a light alcohol intake is harmless (OR 4.102) were independent predictors for alcohol use within the last 12 months (Tables 2, 3). Out of the 204 patients who used alcohol, 147 (72%) were occasional or light alcohol users, 43 (21.1%) were moderate users and 14 subjects (6.9%) practiced heavier alcohol use. Nine subjects of the study population (2.9%) were AUDIT positive indicating hazardous and harmful alcohol use. Antiepileptic drug monotherapy im bored and drinking gives me something to do (OR 1.901) and physicians’ advice that a light alcohol intake is harmless (OR 4.102) were independent predictors for alcohol use within the last 12 months (Tables ​(Tables2,2, ​,3).3). Partial seizures can be an occasional presenting feature of ARS and they may benefit from MRI to identify underlying symptomatic localization related epilepsy (8.3% of partial seizures). CT evidence of cortical atrophy is related to the duration of alcohol intake and portends an increased risk for clustering.

According to the Epilepsy Foundation, some studies have linked chronic alcohol misuse to the development of epilepsy. This may be due to alcohol’s effect on the brain, sleep, and anti-seizure medications. associations between socioeconomic factors and alcohol outcomes pmc Over time, if you regularly drink heavily, the central nervous system gets used to the supressing effect of the alcohol, which means your brain is affected if the alcohol level suddenly drops.

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