Chronic excessive alcohol consumption induces cognitive impairments mainly affecting
executive functions, episodic memory, and visuospatial capacities related to multiple brain
lesions. These cognitive impairments not only determine everyday management of these
patients, but also impact on the efficacy of management and may compromise the abstinence
prognosis. Maintenance of lasting abstinence is associated with cognitive recovery
in these patients, but some impairments may persist and interfere with the good conduct
and the efficacy of management. It therefore appears essential to clearly define
neuropsychological management designed to identify and evaluate the type and severity of
alcohol-related cognitive impairments. It is also essential to develop cognitive remediation
therapy so that the patient can fully benefit from the management proposed in addiction
medicine units.