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Delirium tremens - Overview

Alternative Names

DT's; Alcohol withdrawal - delirium tremens

Definition of Delirium tremens:

Delirium tremens is a severe form of alcohol withdrawal that involves sudden and severe mental or neurological changes.

Causes, incidence, and risk factors:

Delirium tremens can occur after a period of heavy alcohol drinking, especially when the person does not eat enough food.

It may also be triggered by head injury, infection, or illness in people with a history of heavy alcohol use.

It is most common in people who have a history of alcohol withdrawal. It is especially common in those who drink the equivalent of 7 - 8 pints of beer (or 1 pint of "hard" alcohol) every day for several months. Delirium tremens also commonly affects those who have had a history of habitual alcohol use or alcoholism for more than 10 years.

  • Reviewed last on: 5/21/2008
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Brust JC. Seizures and substance abuse: treatment considerations. Neurology. 2006;67:S45-48.

Gold JA. Benzodiazepine administration and need for mechanical ventilation in delirium tremens. Crit Care Med. July 2007;35:1811-1812.