ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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Delirium: Causes And Clinical Approach: Review
Dr. M. Cem DÖNMEZ,a Dr. Duru GÜNDOĞAR,b Dr. Serpil DEMİRCİc
aNöroloji Kliniği, Yozgat Devlet Hastanesi, YOZGATbPsikiyatri ABD, cNöroloji ABD, Süleyman Demirel Üniversitesi Tıp Fakültesi, ISPARTA
Delirium is defined as non-specific organic brain syndrome in which disturbances of consciousness is associated with attention, perception, memory, psychomotor-activation, mood, and sleep-wake cycle disturbances. Despite being the most common mental state disorder, it is overlooked by clinicians. It remains unrecognized in about 70% of old patients. This is due to unawareness rather than misdiagnosis. Neglect is not the only trouble in diagnosing delirium. Physical and psychiatric sign and symptoms of delirium may mimic many other medical and psychiatric diseases. Systemic diseases, central nervous system disorders, toxic effect of drugs or addictives and environmental factors may result in delirium. Risk factors identified in delirium may lead to confusion by interfering with the bottom-up effect of the ascending reticular activating system on attentional matrix, by disturbing the top-down control of attentional matrix executed by frontal, parietal and limbic cortex or by affecting domain-specific attentional modulation. Because of its high morbidity and mortality, delirium prompts urgent treatment and must be recognized by every physician. In this review, to update our knowledge, the causes and risk factors, clinical findings and management options for delirium are summarized.Keywords: Delirium, risk factors, diagnosisTurkiye Klinikleri J Med Sci 2007, 27:718-724
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