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ACR Appropriateness Criteria® Altered Mental Status, Coma, Delirium, and Psychosis: 2024 Update.
J Am Coll Radiol
November 2024
Specialty Chair, University of Iowa Hospitals and Clinics, Iowa City, Iowa.
Altered mental status (AMS) and coma are terms used to describe disorders of arousal and content of consciousness. AMS may account for up to 4% to 10% of chief complaints in the emergency department setting and is a common accompanying symptom for other presentations. AMS is not a diagnosis, but rather a term for symptoms of acute or chronic disordered mentation, including confusion, disorientation, lethargy, drowsiness, somnolence, unresponsiveness, agitation, altered behavior, inattention, hallucinations, delusions, and psychosis.
View Article and Find Full Text PDFPsychiatric manifestations in moyamoya disease: more than a puff of smoke? a systematic review and a case-reports meta-analysis.
Front Psychiatry
March 2024
Psychiatry Department, Geneva University Hospital, Geneva, Switzerland.
Introduction: Moyamoya disease (MMD) is a life-threatening condition characterized by stenosis of intracranial arteries. Despite the frequency and the impact of psychiatric symptoms on the long-term prognosis and quality of life of MMD patients, no systematic review on this topic exists.
Methods: This systematic review and meta-analysis included 41 studies (29 being case reports), from PubMed, Scopus, Embase until 27/3/2023, on MMD patients exhibiting psychiatric symptoms.
Distinct Volume Alterations of Thalamic Nuclei Across the Schizophrenia Spectrum.
Schizophr Bull
August 2024
Department of Diagnostic and Interventional Neuroradiology, School of Medicine, Technical University of Munich, Munich, Germany.
Background And Hypothesis: Abnormal thalamic nuclei volumes and their link to cognitive impairments have been observed in schizophrenia. However, whether and how this finding extends to the schizophrenia spectrum is unknown. We hypothesized a distinct pattern of aberrant thalamic nuclei volume across the spectrum and examined its potential associations with cognitive symptoms.
View Article and Find Full Text PDFHypothalamic Subunit Volumes in Schizophrenia and Bipolar Spectrum Disorders.
Schizophr Bull
April 2024
Department of Psychiatric Research, Diakonhjemmet Hospital, Oslo, Norway.
Background: The hypothalamus is central to many hormonal and autonomous nervous system pathways. Emerging evidence indicates that these pathways may be disrupted in schizophrenia and bipolar disorder. Yet, few studies have examined the volumes of hypothalamic subunits in these patient groups.
View Article and Find Full Text PDFRisk factors for behavioral and psychotic dysregulation at the epilepsy monitoring unit in patients with intracranial electrodes.
Epilepsy Behav
November 2023
Department of Neurology, Maastricht University Medical Centre+, Maastricht, the Netherlands; Academic Center for Epileptology Kempenhaeghe/MUMC+, Heeze and Maastricht, the Netherlands; School for Mental Health and Neurosciences, Maastricht University, Maastricht, the Netherlands. Electronic address:
Objective: Aberrant behavior in patients with epilepsy (PWE) admitted to an epilepsy monitoring unit (EMU) can endanger their safety. We sought to identify predictive factors for post-ictal behavioral dysregulation and psychosis in patients with refractory epilepsy being monitored at an EMU.
Methods: Retrospective data were gathered from electronic patient files of all patients with refractory epilepsy who underwent intracranial registration at our EMU.
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