Clinical Neuroscience

[Indicative guidelines and methodological dilemmas in the treatment of "alcoholism'']

KARDOS György1

JULY 01, 1967

Clinical Neuroscience - 1967;20(07)

[My report in issue 17 of the Medical Journal of 1961 (102: 769-776) summarized the experiments in the treatment of chronic alcoholism with drugs. It dealt with the expected therapeutic results, side-effects, contra-indications and complications on the basis of literature data and our own 580 case histories. The latter have been discussed in detail elsewhere (Medical Education, 37.103-119, 1962) in connection with our analysis of 33 cases of antaethyl-psychosis and alcohol withdrawal syndrome. The same applies to the socio-psychological interactions modifying the intrinsic effects of drug treatments (Psychological Studies, VII: 295-302, 1965). We must now deal with the general guidelines and methodological dilemmas of active withdrawal treatments from the point of view of a therapeutic plan aimed at resolving the pluricausal alcoholism syndromes. I would like to emphasise the latter with particular emphasis, because rejecting them could lead to fundamental errors of approach and practice, i.e. the notion that alcoholism is a monocausal disease entity and that this erroneous and even harmful view results in a barren effort to provide uniform, routine care for 'alcoholics'. ]

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  1. Országos Ideg-és Elmegyógyintézet III. B férfi Osztály

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[In 404 cases, the ratio of sugar content in blood to CSF was tested. Our experience shows that in some diseases the blood glucose/liquid glucose ratio (V/L Q) deviates significantly from the normal value of 1.5. In our opinion, this deviation is due to increased sugar consumption of nerve tissue in spinal processes and altered function of the choroid plexus in brain processes. Significantly altered V/L Q can be used in the differential diagnosis of radiculitis, radiculopathy, spinal tumour.]

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