양측 하지마비증상을 동반한 말초신경병증을 보인 알코올의존 환자 치료 1례

• 영문명: A Case of Alcoholic Neuropathy in Alcohol Dependent Patient with Tetraparesis：A differential Diagnosis of Guillain-Barre syndrome
• 발행기관: 한국중독정신의학회
• 저자명: 김성엽(Sung-Yeop Kim) 이요왕(Yo-Wang Lee) 유태익(Tae-Ik Yoo) 정운섭(Woon-Seop Chung)
• 간행물 정보: 『중독정신의학』Vol.9, No.1, 62~66쪽, 전체 5쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2005.04.30

영문 초록

Problems related to chronic alcohol use common in neuropsychiatric fields, but the concerns about alcoholic neuropathy is much lower to clinicians than other alcohol related problems. We experienced a 54 year-old male alcohol dependent patient who complained of the weakness in both lower legs. He suddenly could not stand or walk showing the flaccid tetraparesis and areflexia on hospital day 7. We should differentiate alcoholic neuropathy from Guillain-Barre syndrome clinically. He showed abnormal electromyographic finding with predominantly no sensory potential and no sensory nerve conduction velocity in lower legs. We successfully treated alcoholic neuropathic pain with amitryptiline without any side effect. According to this case, Psychiatrists should pay more attention to alcoholic neuropathy in alcohol related patients via detailed physical examination, and treat them more aggressively without any fear.

키워드

Alcoholic neuropathy Guillain-Barre syndrome Tetraparesis Electromyography Amitryptiline