Tolaman Sevtap, Tunçel Rasim, Örs Barış, Haznedaroğlu Damla İşman
Department of Mental Health and Diseases, Ege University Faculty of Medicine, İzmir, Türkiye.
Department of Neurology, Ege University Faculty of Medicine, İzmir, Türkiye.
Noro Psikiyatr Ars. 2025 Aug 13;62(3):290-292. doi: 10.29399/npa.28896. eCollection 2025.
Delirium tremens represents the most severe condition of alcohol withdrawal, with the associated highest mortality rate. The primary treatment for cases of delirium tremens consists of benzodiazepines. Within the literature, prolonged cases of delirium tremens have been identified that do not respond to high-dose benzodiazepine treatments or respond late. Different treatment modalities, such as propofol, dexmedetomidine, and parenteral antipsychotic administrations, are being attempted in the management of these cases. In this case, a case of prolonged delirium tremens with insufficient response to benzodiazepine treatment will be presented.
震颤谵妄是酒精戒断最严重的情况,死亡率也最高。震颤谵妄病例的主要治疗方法是使用苯二氮䓬类药物。文献中已发现一些震颤谵妄的长期病例,对高剂量苯二氮䓬类药物治疗无反应或反应迟缓。目前正在尝试用不同的治疗方式,如丙泊酚、右美托咪定和胃肠外给予抗精神病药物来处理这些病例。本文将介绍一例对苯二氮䓬类药物治疗反应不足的长期震颤谵妄病例。