Case report shows that magnesium correction improves symptoms in alcohol withdrawal delirium, highlighting the significance of monitoring electrolyte imbalances.
Alcohol withdrawal delirium (AWD) represents a severe form of alcohol withdrawal syndrome, frequently associated with electrolyte imbalances, including hypomagnesemia. Monitoring and correction of magnesium levels is essential for optimal management. Here we report a 49-year-old male with a history of chronic alcohol use who developed seizures following a brief period of abstinence. Investigations revealed hypomagnesemia. Despite receiving standard treatment, his neuropsychiatric symptoms persisted until intravenous magnesium supplementation was administered, resulting in significant clinical improvement. This case highlights the importance of monitoring and correcting magnesium levels in patients with alcohol withdrawal.
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Maliyackal et al. (2025) studied this question.
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