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Delirium (formerly acute confusional state, an ambiguous term that is now discouraged) [1] is a specific state of acute confusion attributable to the direct physiological consequence of a medical condition, effects of a psychoactive substance, or multiple causes, which usually develops over the course of hours to days.
Bell's mania, also known as delirious mania, refers to an acute neurobehavioral syndrome. [1] This is usually characterized by an expeditious onset of delirium , mania , psychosis , followed by grandiosity , emotional lability , altered consciousness , hyperthermia , and in extreme cases, death. [ 1 ]
Among intensive care unit patients, subsyndromal subjects were as likely to survive as patients with a Delirium Screening Checklist score of 0, but required extended care at rates greater than 0-scoring patients (although lower rates than those with full delirium) [11] or have a decreased post-discharge level of functional independence vs. the ...
Mania is a syndrome with multiple causes. [7] Although the vast majority of cases occur in the context of bipolar disorder, it is a key component of other psychiatric disorders (such as schizoaffective disorder, bipolar type) and may also occur secondary to various general medical conditions, such as multiple sclerosis; certain medications may perpetuate a manic state, for example prednisone ...
Delirium is primarily associated with antagonism of postsynaptic M 1 receptors. [ 6 ] [ 7 ] However, antagonism of both the M 1 receptor and the M 2 receptor have been implicated as having negative effects on memory and cognition , and the selective M 2 receptor antagonist hyoscyamine has been reported to produce deliriant effects similarly to ...
Delirium tremens was also given an alternate medical definition since at least the 1840s, being known as mania a potu, which translates to 'mania from drink'. [28] The Belgian beer "Delirium Tremens," introduced in 1988, is a direct reference and also uses a pink elephant as its logo to highlight one of the symptoms of delirium tremens. [29] [30]
Exhaustion alone, without syncope or delirium, can prevent a mother from helping a dying infant; in clandestine labors, it can be fatal to the new-born, without mens rea. Brief states of delirium have been described with onset after the birth, less common but similar to those that occur during parturition. There are about 20 in the literature. [39]
The incidence of emergence delirium after halothane, isoflurane, sevoflurane or desflurane ranges from 2–55%. [10] Most emergence delirium in the literature describes agitated emergence. Unless a delirium detection tool is used, it is difficult to distinguish if the agitated emergence from anesthesia was from delirium or pain or fear, etc.