Pseudodelirium.

Aust N Z J Psychiatry

Department of Psychiatry, The Wollongong Hospital, Wollongong, NSW, Australia.

Published: July 2022

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http://dx.doi.org/10.1177/00048674211061689DOI Listing

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Pseudodelirium.

Aust N Z J Psychiatry

July 2022

Department of Psychiatry, The Wollongong Hospital, Wollongong, NSW, Australia.

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Pseudodelirium: Psychiatric Conditions to Consider on the Differential for Delirium.

J Neuropsychiatry Clin Neurosci

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Department of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, Tenn. (Wilson, Andrews); Center for Critical Illness, Brain Dysfunction, and Survivorship, Vanderbilt University Medical Center (Wilson, Andrews, Ely); University of Rochester Medical Center, Rochester, N.Y. (Ainsworth, Oldham); Oregon Health and Science University, Portland, Ore. (Roy); Department of Medicine, Division of Allergy, Pulmonary and Critical Care Medicine, Vanderbilt University Medical Center (Ely); Department of Medicine, Division of General Internal Medicine and Public Health, Vanderbilt University Medical Center (Ely); and Veteran's Affairs Tennessee Valley, Geriatrics Research, Education and Clinical Center, Nashville, Tenn. (Wilson, Ely).

Objective: The phenotypes of several psychiatric conditions can very closely resemble delirium; the authors describe such presentations as pseudodelirium. However, because the clinical management of these conditions differs markedly from that of delirium, prompt differentiation is essential. The authors provide an educational review to assist clinicians in identifying and managing psychiatric conditions that may be especially challenging to differentiate from delirium.

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We wish to report two cases which illustrate a subtype of bipolar affective disorder and suggest that it should be termed Manic Pseudo-Delirium (MP-D) as it incorporates features of both mania and delirium. This will facilitate consistent recognition and characterization since mania remains the primary diagnosis and delirium is not thought to co-exist with functional psychoses. Extensive investigations were done to exclude underlying medical causes for the delirium.

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Transient cognitive disorders (delirium and pseudodelirium) are highly prevalent among the elderly, especially those with brain damage. Delirium is a common feature of physical illness or drug intoxication in elderly patients and requires prompt medical attention. While potentially reversible, delirium may herald death.

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Pseudodelirium.

Med J Aust

June 1979

Two case histories are presented which illustrate the fact that acute functional psychoses may simulate delirium. It is suggested that the term "pseudodelirium" may alert clinicians to this possibility, and facilitate the earlier diagnosis and treatment of psychiatric illness.

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