Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0011206 (delirium)
 5,996 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Examination of 145 epileptic patients revealed the clinical characteristics of the formation of psychoses with the predominance of catatonic disturbances. The latter correlated with a paroxysmal and chronic course of psychosis. When catatonic symptomatology was combined with chronic affective-delirious disorders the outcome was usually more favourable than in paroxysmal psychoses.
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PMID:[Prognostic significance for disability of catatono-delusional and catatonic psychoses in epilepsy patients]. 375 13

In a prospective study of the 295 admissions in one year to an acute psychiatric ward, 14 subjects without delirium or dementia were found to have developed temporary urinary incontinence. When compared with matched controls (n = 56) the incontinent patients were found to be suffering from psychosis (P less than 0.0002) and to have a history of childhood enuresis (P less than 0.01). Compared with psychotic controls (n = 22), the incontinent patients were older (P less than 0.05), they had been exposed to a greater variety of treatments (P less than 0.01), and they had received more thioridazine (P less than 0.04).
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PMID:Temporary urinary incontinence in the acute psychiatric patient without delirium or dementia. 377 78

A series of 100 adults with the most common variants of delirious schizophrenia running both continuous and paroxysmal course were examined. The study established the structural unity of delirious states in the above forms of the schizophrenia course. The consistency of the considered delirious symptom-complexes with regard to their growing complexity corresponded to the time-course of psychopathological states associated with the development of oneiroid psychotic attacks. This suggests that the variability of delirious schizophrenia is determined by the level at which the psychotic state was stabilized and also by its duration and the degree of the psychopathological symptomatology.
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PMID:[Typology of delusional states in schizophrenic patients]. 398 97

The author observed 50 patients with schizophrenia manifested by a delirious state in the form of acute paranoid. Along with the general characteristics of the psychopathological structure of this syndrome, the schizophrenic patients presented considerable differences both in manifestations of the psychosis itself and in its time-course. On the basis of the qualitative specific features of delirious persecution manifestations and the ratio in the picture of psychosis of the components of acute sensual delirium and interpretative delirium, 3 variants of acute paranoid were identified: paranoid with the predominance of sensual delirium; paranoid with elements of interpretative delirium; and paranoid with a tendency to delirium alteration in the direction of fantasy. The author considers some characteristics of acute paranoids in schizophrenia and the possibility to use the elaborated typology for prognostic purposes.
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PMID:[Clinico-psychopathologic features and typology of acute paranoid episodes in schizophrenia]. 398 10

Acute cases of the Kandinsky-Clerambault syndrome first manifested in adulthood were studied in schizophrenic patients. On the basis of the clinical mechanisms of the development of psychosis and the specific features of acute delirious disturbances in the structure of psychosis 3 clinical variants of the acute syndrome of psychic automatism were identified: developing according to the type of reaction in the structure of acute paranoid (the first variant), according to the regularities of endogenic paroxysm in the picture of acute sensory delirium (the second variant) and according to the mechanism of exacerbation of chronic delirium entering the structure of acute interpretative delirium (the third variant).
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PMID:[Clinico-psychopathologic varieties of the acute Kandinsky-Clerambault syndrome in schizophrenia]. 405 Feb 33

The time-course of delirious syndromes was analyzed statistically in a representative group of the randomized patients' population from 3 districts of a city. Depending on patients' sex, their age at the initiation of psychoses and the duration of the disease, there was a different frequency of paranoiac, paranoid, hallucinational-paranoid and paraphrenic syndromes in the course of paranoid schizophrenia. Along with the identification of the general tendency to the complication of delirious syndromes, there was stabilization of psychotic process at the level of any of the aforementioned delirious syndromes. A study of the ordinal number of the appearance of delirious syndromes in the course of paranoid schizophrenia showed the possibility of a mere change of the syndrome unattended by a decrease in the level of the patients' social and employment-related adaptation. At the same time, a reduction in the latter's level could take place upon stabilization of the psychotic process at the level of one or another delirious syndrome.
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PMID:[Various results of an epidemiologic study of paranoid schizophrenia]. 405 Feb 34

The varieties of psychotic LSD experiences are many. A very few may resemble a delirium, some are quite reminiscent of schizophrenia and others have an idiosyncratic quality not seen in the naturally occurring psychoses. The psychotic response to LSD is better understood than transcendent experiences because its neurochemistry and phenomenology have been worked out. Additionally, there is greater familiarity with the endogenous psychoses than the endogenous cosmic experiences. The LSD condition, especially the unsane state, is indeed an experience in search of an explanation. It is doubtful that an animal model for it will be found. It is even possible that not all humans are capable of achieving that state by means of the hallucinogenic drugs. The LSD state remains an area of enormous interest that requires exploration and research.
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PMID:LSD: the varieties of psychotic experience. 408 79

In 1963, acute trichinosis was recognized in four patients at the Ottawa Civic Hospital. One presented with cavernous sinus thrombosis and sixth nerve palsy. A second had a severe systemic infection with myocarditis; the signs of myocarditis appeared in the third week. Electrocardiographic abnormalities included T-wave flattening, prolongation of PR interval and QRS complex, and non-specific changes in 25%. Central nervous system involvement occurred in the second week with general symptoms (headache, delirium and psychotic behaviour), followed in the third week by focal signs (nerve palsy, convulsion, pareses and coma).The incidence of trichinosis in the U.S.A. fell from 15.9% before 1948 to 4.5% in the period 1948-1963. The Canadian incidence in the period from 1940 to 1943 was 5.6%. In a survey in Ottawa using the Baermann digestion and compression methods, four positive cases were found out of 500 diaphragms examined. These figures indicate the success of the public health regulations aimed at controlling trichinosis. A gastrocnemius muscle biopsy is still an invaluable diagnostic tool, especially in critically ill patients with negative skin tests and no eosinophilia.
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PMID:Human trichinosis: report of four cases, with emphasis on central nervous system involvement, and a survey of 500 consecutive autopsies at the Ottawa Civic Hospital. 428 27

Acute delirious mania as a clinical state was first described over a century ago, yet it is often unrecognized in clinical practice. Typically, the presence of delirium has most often been viewed as organic rather than functional in origin. Three recent cases illustrate the rather dramatic presentation, course, and treatment of such patients. While most often diagnosed as having acute psychotic episodes of organic delirium, these patients generally meet the criteria for a diagnosis of mania with attendant delirium and respond to the standard treatments for mania. Lack of recognition of delirious mania can lead to mismanagement of the short- and long-term courses of the illness.
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PMID:Recognition of acute delirious mania. 610 94

Results of treating 235 patients suffering from grave alcohol delirium complicated with somatic pathology are presented. Use was made of various methods of inducing prolonged drug sleep: by neuroleptics, barbiturates with analgesics sodium gamma-hydroxybutyrate alone or in combination with barbiturates or viadril. The method of using the combination of sodium gamma-hydroxybutyrate with barbiturates or viadril G appeared to be the most effective. It use resulted in a rapid elimination of psychomotor excitation, quick induction of deep sleep, considerable shortening of the psychotic period, rapid normalization of vitally important body functions, and shortening of the duration of the post-delirium asthenization.
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PMID:[Prolonged pharmacologic sleep in the complex treatment of patients with severe forms of alcoholic delirium]. 611 66


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