Categorising a problem: alcohol and dementia

Acta Neurol Belg. 2021 Feb;121(1):1-10. doi: 10.1007/s13760-020-01515-y. Epub 2020 Oct 14.

Abstract

Alcoholism is a chronic relapsing disorder that can include extended periods of abstinence followed by relapse to heavy drinking. Decades of evidence have clearly shown that long-term, chronic ethanol exposure produces brain damage in humans. The article aims to review the relationship between alcohol use and dementia. Medline and Google Scholar searches were conducted for relevant articles, chapters and books published until 2019. Search terms used included alcohol consumption, alcohol-related dementia, alcohol use disorders, chronic alcoholism, dementia. Publications found through this indexed search were reviewed for further relevant references. Alcohol acts on the central nervous system via both direct and indirect effects, frequently a combination of the two. There is consensus that alcohol contributes to the acquisition of cognitive deficits in late life. However, there are doubts regarding the aetiopathogenesis, nosological status and prevalence of alcohol-related dementia and still, there is much debate over how much alcohol consumption will lead to alcohol-related dementia.

Keywords: Alcohol consumption; Alcohol use disorders; Alcohol-related dementia; Chronic alcoholism; Dementia.

Publication types

  • Review

MeSH terms

  • Alcoholism / complications*
  • Alcoholism / diagnostic imaging*
  • Alcoholism / psychology
  • Animals
  • Brain / diagnostic imaging*
  • Brain / drug effects
  • Cognition Disorders / diagnostic imaging
  • Cognition Disorders / etiology
  • Cognition Disorders / psychology
  • Dementia / diagnostic imaging*
  • Dementia / etiology*
  • Dementia / psychology
  • Diagnostic and Statistical Manual of Mental Disorders
  • Ethanol / adverse effects
  • Humans

Substances

  • Ethanol