Presentation
All three presented with high-grade fever and twilight state, and were admitted to our hospital. After admission, delirium developed in all three. [ncbi.nlm.nih.gov]
Entire Body System
- Malnutrition
[…] hyperthyroidism or hypothyroidism ) Vitamin deficiency (B1, B12, or folate) DRUG AND ALCOHOL-RELATED CONDITIONS Alcohol withdrawal state Intoxication from drug or alcohol use Wernicke-Korsakoff syndrome (a long-term effect of excessive alcohol consumption or malnutrition [ufhealth.org]
Failure to provide thiamine when administering glucose may rarely lead to acute Wernicke syndrome (ataxia, confusion, oculomotor palsies in the setting of malnutrition). If unrecognized, Wernicke syndrome may also result in chronic dementia. [emedicine.com]
Psychiatrical
- Delusion
See also substance-induced disorders. organic delusional syndrome a term used in a former system of classification, denoting an organic mental syndrome characterized by delusions caused by a specific organic factor and not associated with clouding of [medical-dictionary.thefreedictionary.com]
Influence of previous psychiatric history on hallucinations and delusions in OBS Again, none of these associations proved significant. [annals-general-psychiatry.biomedcentral.com]
Delusional elaboration of the hallucinations may occur, but delusions do not dominate the clinical picture; insight may be preserved. [apps.who.int]
Both may be marked by illusions, hallucinations, delusions, or disturbances of perceptions, mood, behavior, cognitive capacity, or personality. WHY: Delirium can occur with rheumatic fever or cerebral vasculitis. [sideeffects.embl.de]
- Aggressive Behavior
Medications may be needed to reduce aggressive behaviors typical of some of the conditions in this category. None Cognitive Disorder's [psychnet-uk.com]
Medicines may be needed to reduce aggressive behaviors that can occur with some of the conditions. Some disorders are short-term and reversible. But many are long-term or get worse over time. [nlm.nih.gov]
Medicines may be needed to reduce aggressive behaviors that can occur with some of the conditions. Outlook (Prognosis) Some disorders are short-term and treatable. But many are long-term or get worse over time. [ufhealth.org]
- Impulsivity
[…] implying that other conditions do not, is currently discouraged. organic personality syndrome former term for an organic mental syndrome characterized by a marked change in behavior or personality, e.g., emotional instability, marked apathy, or impaired impulse [medical-dictionary.thefreedictionary.com]
[…] impaired insight and judgment and loss of affect; memory impairment is often the most prominent initial symptom, and others include increasing rigidity of thought; restricted interests; easy distractibility; lack of initiation; speech disturbances; loss of impulse [medi-info.com]
[…] known; OR Perceptual or thinking disturbances (e.g., hallucinations, delusions); OR Change in personality; OR Disturbance in mood; OR Fluctuations in emotions and their intensity (e.g., explosive temper outbursts, sudden crying, etc.) and impairment in impulse [disability-benefits-help.org]
Emotional lability (e.g., explosive temper outbursts, sudden crying, etc.) and impairment in impulse control; or 7. [benzobuddies.org]
- Visual Hallucination
Visual hallucinations in consultation-liaison neuropsychiatry. Acta Neuropsychiatrica, Vol. 19, Issue. 06, p. 330. [cambridge.org]
For example, people with Lewy body dementia often have long-lasting visual hallucinations. Some forms of dementia also tends to affect people younger than others and progress faster. [bodyandhealth.canada.com]
[…] recognition of an underlying condition offten leads to a specific treatment that can modify the progression Dementia with Lewy Bodies (DLB) Abnormal deposits of a protine called Lewy bodies Dementia with Lewy Bodies (DLB) S/S Sleep disturbances, well formed visual [quizlet.com]
Cross-tabulations reported p = 0.919, p = 0.770, p = 0.336 respectively for visual hallucinations, auditory hallucinations and delusions. E. [annals-general-psychiatry.biomedcentral.com]
- Mood Swings
Organic Emotionally Labile Disorder - Those who suffer from wild mood swings in both directions. [gomentor.com]
Symptoms affecting the emotions are mood swings and changes in behavior. Cognitive ability can be impaired, such as difficulty with concentration, memory, and thinking. Other common symptoms are a headache, lightheadedness, and confusion. [consumerdangers.com]
Mood swings and emotional outbursts may be treated with mood-stabilizing drugs. Agitation and psychosis (hallucinations and delusions) may be treated with antipsychotic medication or, in some cases, anticonvulsants. [emedicinehealth.com]
swings, or outbursts; or physical, such as endocrine dysfunction, fatigue, headache, incontinency, nausea, seizures, sleep disorders, or tinnitus. [braininjurynetwork.org]
Neurologic
- Confusion
[…] signs and symptoms including problems with attention, concentration, memory, confusion, anxiety, and depression caused by transient or permanent dysfunction of the brain. [medical-dictionary.thefreedictionary.com]
That D-amphetamine was critical to the resulting marked diminution in confusion, paranoia, and deficit in short term memory was confirmed by the occurrence of a relapse coincident with placebo administration as part of a double blind evaluation. [ncbi.nlm.nih.gov]
- Cognitive Impairment
Longer treatment periods and further specifications with regard to the aetiopathology and degree of cognitive impairment are recommended for further clinical studies of this promising compound. [ncbi.nlm.nih.gov]
This subjective cognitive decline is associated with an increased risk of progression to mild cognitive impairment (MCI) and dementia (Jessen et al., 2014). [asha.org]
In a video documentation, we present the case of an 18-year-old girl who suffered from severe cognitive impairments, such as hallucinations during her A-level examinations. [thieme-connect.com]
- Personality Change
For example, some people who experience traumatic brain injuries undergo personality changes in addition to experiencing neurological symptoms like difficulty walking or speaking. [wisegeek.com]
Often, these changes occur rapidly and affect the person's level of consciousness. This is called delirium. [emedicinehealth.com]
Dementia and delirium are the cause of the confusion, orientation, cognition or alertness impairment. [9] Therefore, these symptoms require more attention because hallucinations, delusions, amnesia, and personality changes are the result. [en.wikipedia.org]
Unable to plan a meal or balance a check book Inability to use objects correctly Progression of Dementia Phase 2 Progression of difficulty interacting in social situations Personality changes Irritability Rigidity Perseveration (repeating of meaningless [quizlet.com]
Instead, people with subcortical dementia can experience behavior and personality changes, resulting in socially inappropriate and unusual actions. Some forms of dementia are progressive, which means that they get worse over time. [nmihi.com]
- Apathy
[…] basis, possibly implying that other conditions do not, is currently discouraged. organic personality syndrome former term for an organic mental syndrome characterized by a marked change in behavior or personality, e.g., emotional instability, marked apathy [medical-dictionary.thefreedictionary.com]
Dementia in Pick's disease ( G31.0+ ) A progressive dementia, commencing in middle age, characterized by early, slowly progressing changes of character and social deterioration, followed by impairment of intellect, memory, and language functions, with apathy [apps.who.int]
These symptoms include aphasia, attentional problems, irritability, anxiety, depression or affective lability, apathy, increased aggression, or other changes in personality * * *.” [scarlettlawgroup.com]
- Slurred Speech
Physical symptoms: Restlessness, Tremor ,Ataxia ,Slurred speech ,Incontinance. Behavior disturbance – wandering ,aggressive outbursts Predisposing factors: Age—any age- common in young children and elderly pts( dementia). [slideshare.net]
In moderate or severe cases of TBI, there may be convulsions, seizures, lack of coordination, and slurred speech. Infection – Symptoms of brain disease are dramatic. They include high fever, headache, stiff neck, confusion, nausea, and vomiting. [consumerdangers.com]
Treatment
Thus, oxiracetam seems to have no effect in the treatment of organic brain syndrome. [ncbi.nlm.nih.gov]
Prognosis
Many of the cases are long-term, and there is not as much of a set and defined prognosis. [en.wikipedia.org]
Outlook (Prognosis) Some disorders are short-term and treatable. But many are long-term or get worse over time. Possible Complications People with neurocognitive disorder often lose the ability to interact with others or function on their own. [ufhealth.org]
Drug withdrawal Dose 1—1.5 mg daily orally 1 hour a day of 0.8% I/V Risk of dependence Prognosis: Depends on causative condition Commonest out come—complete recovery MR 12% DRUGS CAUSING DELIRIUM: Tranqulizer and hypnotics—Barbsiturate,Benzodiazepine, [slideshare.net]
Early diagnosis and treatment are the keys to a good prognosis. Red Flags of Organic Brain Injuries There are many red flags that signal the presence of organic brain syndrome. [consumerdangers.com]
Etiology
The most common etiologic factors producing decompensation of the chronic OBS were infections (in 23%) and environmental changes (in 17%). The most common etiologic factor causing AOBS de novo was drug-related. [ncbi.nlm.nih.gov]
The term was sometimes used as a synonym of organic mental syndrome. organic mental syndrome former term for a constellation of psychological or behavioral signs and symptoms associated with brain dysfunction of unknown or unspecified etiology, grouped [medical-dictionary.thefreedictionary.com]
The Journal of Nervous and Mental Disease: June 1982 Article: PDF Only Abstract Lithium carbonate therapy was useful in the treatment of five patients with organic brain syndrome of diverse etiologies. [journals.lww.com]
Diagnostic Tests The diagnosis of delirium is based on the clinical presentation, particularly the fluctuation of symptoms with periods of lucidity, and a history of one or more etiologic agents. [medi-info.com]
[…] and multiple body system manifestations due to the underlying etiology. [icd10data.com]
Epidemiology
Comparison of a screening test and a reference test in epidemiologic studies. I. Indices of agreement and their relation to prevalence. American Journal of Epidemiology 83, 586 – 592. Cicchetti, D V. ( 1976 ). [journals.cambridge.org]
In brief, this is an epidemiological study with three waves, but only the results of Wave I (ZARADEMP I), the baseline, cross-sectional study will be used here. [scielo.isciii.es]
A 3-Site Epidemiologic Study. J General Intern Med. 1998, 13 (4): 234-242. 10.1046/j.1525-1497.1998.00073.x. View Article Google Scholar Huang SC: Characteristics and Outcome of Delirium in Psychiatric Inpatients. [annals-general-psychiatry.biomedcentral.com]
Pathophysiology
Alcoholic organic brain disease may result from two interacting pathophysiological processes: nutritional (thiamine) deficiency and ethanol neurotoxicity. [ncbi.nlm.nih.gov]
"Alcoholic organic brain disease: nosology and pathophysiologic mechanisms". Prog. Neuropsychopharmacol. Biol. Psychiatry. 10 (2): 147–64. doi : 10.1016/0278-5846(86)90069-2. [en.wikipedia.org]
Until now, there is no evidence for etiologic and pathophysiologic mechanisms. However, at the present time the acute psychoorganic syndrome is considred to be a stressinduced cerebral dysregulation. [thieme-connect.com]
Prevention
[…] with minimal environmental changes; use of frequent orientation devices (clocks, calendars, schedules, memory books, name tags); encouragement to do familiar, repetitive routines; safety precautions to prevent wandering; use of adult day care, respite [medi-info.com]
Thus, the vast majority of those diagnosed as being without OBS at about the age of 80 years remained asymptomatic in subsequent years, supporting the view that OBS is not a necessary concomitant of old age, but the result of disease for which prevention [ncbi.nlm.nih.gov]
To prevent atherosclerosis, don't smoke, eat a diet low in fat, exercise regularly and reduce stress whenever possible. Ask your doctor about preventive steps to take. [nmihi.com]
[…] https://www.healthcentral.com/category/alzheimers Expert information on promising new treatments, practical coping strategies for caregivers, and the latest on prevention of Alzheimer's disease. [healthcentral.com]