Alcoholic hallucinations
Introduction
Introduction Alcohljic hallucinosis This is an illusion caused by long-term drinking. The patient has a large number of rich and distinct hallucinations within 1 to 2 days after the sudden reduction or stop of drinking, which is regarded as the main hallucination. Common primitive illusions as well as critical and imperative auditory hallucinations. On the basis of hallucinations, there may also be fragmentary delusions and corresponding nervous fears or depressions. During the onset of the disease, the patient's state of consciousness is clear, and there is no significant psychomotor excitability and hyperactivity of the plant. The toxic hallucinations of alcohol are variable in duration, ranging from a few hours to a maximum of six months.
Cause
Cause
Alcohol is a neurotropic substance that has an inhibitory effect on the central nervous system. After drinking, it has a feeling of relaxation and warmth, eliminating tension and relieving discomfort or pain. A large amount of alcohol can cause drunkenness and is a common acute alcoholism. Long-term heavy drinking can lead to degeneration of the cerebral cortex cerebellum and corpus callosum, endocrine gland damage in the liver, malnutrition enzymes and vitamin deficiency. All kinds of alcohol can be relied on, but spirits with high alcohol concentration are more addictive and slower to rely on alcohol. The formation of chronic alcoholism often has a history of long-term drinking for more than 10 years, alcohol and sedative hypnotics, which can be cross-tolerant. Some alcohol dependent people may be associated with hypnotic sedative dependence. It is due to the mental and physical disorders caused by long-term alcohol dependence.
Examine
an examination
Related inspection
Brain CT examination brain MRI examination EEG examination brain nerve examination
1. Drinking for a long time.
2. There are a lot of hallucinations, auditory hallucinations, and illusions (as seen as primitives or small animals).
3. There is no hyperactivity in neurological function.
4. The course of the disease is no more than half a year.
5. Exclude mental disorders caused by schizophrenia or other diseases.
6. Meet the diagnostic criteria for mental disorders caused by alcoholism. Diagnosis can be based on the above characteristics.
Diagnosis
Differential diagnosis
Alcohol Toxic delusions: Alcoholic dclusiveness patients have delusions and suspicions in the case of clear consciousness, which is more common in the clinic. The patient has no doubt about the infidelity of the spouse. For this reason, there is often a violent reaction, which can also lead to attacks on suspects or spouses, sometimes resulting in murderous consequences. It has also been referred to as alcoholic jealousy in the past. The occurrence of delusions usually involves a decrease in sexual function caused by long-term drinking by the patient. The alcoholic paranoia is slow onset and the course of the disease is prolonged. If you persist in drinking alcohol for a long time, you can gradually recover.
Alcoholic toxicity paranoid state: alcoholic paranoid state (alcoholic paranoidstate)
Chronic alcoholism patients have suspicions about their spouses, often expressed as delusions, but also can be seen. Some people think that this type of case is chronic schizophrenia, just a coincidence with chronic alcoholism.
