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We obtained CTs in 259 patients with a first alcohol-related convulsion. Each subject had generalized convulsion,recent abstinence from alcohol abuse,and no obvious etiology for seizures other than alcohol withdrawal. Patients with only focal seizures,major head injury,coma,or a severe toxic-metabolic disorder were excluded.We recorded history and signs of minor head injury,presence of headache,level of consciousness,neurologic signs,routine medical examination findings and subsequent clinical course. Sixteen patients(6.2%)had intracranial lesions on CT.Eight had subdural hematomas or hygromas,two had vascular malformations,two had neurocysticercosis,and one each showed a Berry aneurysm,possible tumor, skull fracture with subarachnoid hemorrhage,and probable cerebral infarction.In ten cases(3.9%),clinical management was altered because of the CT result.History of signs of minor head trauma,headache,level of consciousness,or focal neurologic signs did not significantly correlate with CT abnormality. |
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alcohol alcoholic withdrawal states,DT's,convulsions,etc. CAT scan CAT scan,abnormal cerebrovascular accident malformation,vascular malformation,vascular,cerebral seizure seizure,etiology of seizure,tonic-clonic seizure,withdrawal subdural hematoma
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