Multiple-etiology delirium and catatonia in an alcoholic with tubercular meningoencephalitis

Upadhyaya, Suneet Kumar; Pathania, Monika; Sharma, Archana

doi:10.4103/0972-6748.102528

Cited by 4 publications

(5 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The frequency of delirium in the context of the patients’ clinical presentations of ME in our study is in contrast to the few case reports and case series 26 –28 reporting on delirium with ME and the lack of cohort studies in this context. The latter seems likely to mirror the lack of awareness regarding the coexistence of delirium and the clinical presentation of ME.…”

Section: Discussioncontrasting

confidence: 87%

Delirium in Meningitis and Encephalitis: Emergence and Prediction in a 6-Year Cohort

Dittrich

Marsch

Rüegg

et al. 2020

J Intensive Care Med

View full text Add to dashboard Cite

Background/Objective: Data regarding delirium in patients presenting with infections of the central nervous system, such as meningitis and/or encephalitis (ME), are scarce. We aimed to determine the frequency and early predictors of delirium in the acute phase of ME. Methods: We assessed clinical, radiologic, and laboratory data of patients with ME at a Swiss academic medical center from 2011 to 2017. The highest Intensive Care Delirium Screening Checklist (ICDSC) score was assessed within 24 hours around lumbar puncture. Multivariable logistic regression was performed to identify predictors of delirium (ICDSC ≥4). Results: Among 330 patients with ME, infectious pathogens were identified in 41%. An ICDSC >1 was found in 28% with and 19% without identified infectious pathogens. Delirium was diagnosed in 18% with and 14% without infectious pathogens and significantly associated with prolonged in-hospital treatment and mechanical ventilation, more frequent administration of neuroleptics and anesthetics (in 96% with delirium vs 35% without), complications, and less recovery to premorbid functional baseline. Low serum albumin at presentation was the only independent predictor of delirium (area under the receiver–operating curve [AUROC] = 0.792) in patients with pathogens. In patients with infections, the AUROC was smallest for encephalitis (AUROC = 0.641) and larger for patients with meningeal infections (meningitis AUROC = 0.807; meningoencephalitis AUROC = 0.896). Conclusions: Delirium in the context of ME is seen in almost every fifth patient and linked to prolonged treatment, complications, and incomplete recovery. Among clinical, radiologic, and laboratory parameters, the good calibration and discrimination of low albumin serum concentrations for the prediction of delirium in patients with ME seem promising, especially if meninges are affected.

show abstract

Section: Discussioncontrasting

confidence: 87%

Delirium in Meningitis and Encephalitis: Emergence and Prediction in a 6-Year Cohort

Dittrich

Marsch

Rüegg

et al. 2020

J Intensive Care Med

View full text Add to dashboard Cite

show abstract

“…Los signos que pueden asociarse con el delírium hipoactivo son inmovilidad, retraimiento, adopción de posturas por largo tiempo, mutismo y negativismo. Con el delírium hiperactivo se asocian impulsividad, manierismos, excitación motora y combatividad 20 .…”

Section: Discussionunclassified

Catatonia y delírium: síndromes que pueden confluir en el paciente neuropsiquiátrico

Pérez-González

Espínola-Nadurille

Ramı́rez-Bermúdez

2017

Revista Colombiana de Psiquiatría

View full text Add to dashboard Cite

“…The authors suggested that catatonia may be a subtype of delirium . Further data from the literature in the form of case reports also suggest that delirium and catatonia may occur in the same patients concurrently or one may follow the other …”

mentioning

confidence: 99%

“…15 Further data from the literature in the form of case reports also suggest that delirium and catatonia may occur in the same patients concurrently or one may follow the other. [16][17][18][19][20] Major changes have been suggested for catatonia in DSM-5 to reduce under-recognition of this condition. According to the DSM-5 criteria, three out of the 12 criteria are required for the diagnosis of catatonia.…”

mentioning

confidence: 99%

Do patients of delirium have catatonic features? An exploratory study

Grover

Ghosh

Ghormode

2014

Psychiatry Clin Neurosci

View full text Add to dashboard Cite

Aim The aim of this study was to determine the prevalence of catatonic symptoms, as per the Bush Francis Catatonia Rating Scale (BFCRS), in patients with delirium and to evaluate the prevalence of catatonia as defined by the Bush Francis Catatonia Screening Instrument and DSM‐5 criteria in patients with delirium. Method Two hundred five consecutive subjects with delirium were assessed on the Delirium Rating Scale‐Revised 98 version, the amended Delirium Motor Symptom Scale and the BFCRS. Results On the BFCRS, two‐fifths (n = 80; 39%) of the study participants had two or more catatonic symptoms. When the diagnosis of catatonic syndrome was considered, 32% and 12.7% were observed to have catatonia as per the Bush Francis Catatonia Screening Instrument and proposed DSM‐5 criteria, respectively. Delirium with catatonic syndrome was more common in women and in those who had onset of delirium prior to hospitalization. Amongst the delirium subtypes, hypoactive delirium was more commonly associated with catatonic syndrome. Conclusion The present study suggests that a substantial number of patients with delirium have catatonic symptoms and a significant proportion have catatonic syndrome. This high prevalence makes the concurrent diagnosis of delirium and catatonia plausible. The association of catatonia with a specific motor subtype of delirium could encourage the expansion or even modification of the existing subtypes of delirium.

show abstract

Multiple-etiology delirium and catatonia in an alcoholic with tubercular meningoencephalitis

Cited by 4 publications

References 6 publications

Delirium in Meningitis and Encephalitis: Emergence and Prediction in a 6-Year Cohort

Delirium in Meningitis and Encephalitis: Emergence and Prediction in a 6-Year Cohort

Catatonia y delírium: síndromes que pueden confluir en el paciente neuropsiquiátrico

Do patients of delirium have catatonic features? An exploratory study

Contact Info

Product

Resources

About