{"id":8013,"date":"2024-07-06T10:15:08","date_gmt":"2024-07-06T06:45:08","guid":{"rendered":"https:\/\/drboroumandp7.com\/delirium\/"},"modified":"2024-11-25T10:22:19","modified_gmt":"2024-11-25T06:52:19","slug":"delirium","status":"publish","type":"post","link":"https:\/\/drboroumandp7.com\/en\/delirium\/","title":{"rendered":"Delirium"},"content":{"rendered":"\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_2 ez-toc-wrap-right counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">\u0622\u0646\u0686\u0647 \u062f\u0631 \u0627\u06cc\u0646 \u0646\u0648\u0634\u062a\u0647 \u0645\u06cc \u062e\u0648\u0627\u0646\u06cc\u062f<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/drboroumandp7.com\/en\/delirium\/#Delirium_or_acute_cerebral_syndrome\" >Delirium or acute cerebral syndrome<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/drboroumandp7.com\/en\/delirium\/#Symptoms_of_delirium\" >Symptoms of delirium<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/drboroumandp7.com\/en\/delirium\/#Predisposing_symptoms_of_delirium\" >Predisposing symptoms of delirium<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/drboroumandp7.com\/en\/delirium\/#Cause_of_delirium\" >Cause of delirium<\/a><ul class='ez-toc-list-level-2' ><li class='ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/drboroumandp7.com\/en\/delirium\/#Toxic_brain_damage_encephalopathy\" >Toxic brain damage (encephalopathy).<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/drboroumandp7.com\/en\/delirium\/#Metabolic_brain_injury\" >Metabolic brain injury<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/drboroumandp7.com\/en\/delirium\/#Infectious_brain_injury\" >Infectious brain injury<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/drboroumandp7.com\/en\/delirium\/#Traumatic_brain_apple\" >Traumatic brain apple<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/drboroumandp7.com\/en\/delirium\/#Hypoxic_brain_injury\" >Hypoxic brain injury<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/drboroumandp7.com\/en\/delirium\/#Types_of_delirium\" >Types of delirium<\/a><ul class='ez-toc-list-level-2' ><li class='ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/drboroumandp7.com\/en\/delirium\/#Hyperactive_delirium\" >Hyperactive delirium<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/drboroumandp7.com\/en\/delirium\/#Hypoactive_delirium\" >Hypoactive delirium<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/drboroumandp7.com\/en\/delirium\/#Delirium_tremens\" >Delirium tremens<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/drboroumandp7.com\/en\/delirium\/#Mixed_delirium\" >Mixed delirium<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/drboroumandp7.com\/en\/delirium\/#Diagnosis_of_delirium\" >Diagnosis of delirium<\/a><ul class='ez-toc-list-level-2' ><li class='ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/drboroumandp7.com\/en\/delirium\/#Blood_tests_to_diagnose_delirium\" >Blood tests to diagnose delirium<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/drboroumandp7.com\/en\/delirium\/#Head_scan_to_diagnose_delirium\" >Head scan to diagnose delirium<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/drboroumandp7.com\/en\/delirium\/#Thyroid_test\" >Thyroid test<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/drboroumandp7.com\/en\/delirium\/#Liver_test\" >Liver test<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-20\" href=\"https:\/\/drboroumandp7.com\/en\/delirium\/#Chest_X-ray\" >Chest X-ray<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-21\" href=\"https:\/\/drboroumandp7.com\/en\/delirium\/#Treatment_of_delirium\" >Treatment of delirium<\/a><ul class='ez-toc-list-level-2' ><li class='ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-22\" href=\"https:\/\/drboroumandp7.com\/en\/delirium\/#Diagnosis_and_treatment_of_the_underlying_medical_problem\" >Diagnosis and treatment of the underlying medical problem<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-23\" href=\"https:\/\/drboroumandp7.com\/en\/delirium\/#Management_of_behavioral_disorders\" >Management of behavioral disorders.<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h1 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Delirium_or_acute_cerebral_syndrome\"><\/span>Delirium or acute cerebral syndrome <span class=\"ez-toc-section-end\"><\/span><\/h1>\n\n<p>Delirium or acute brain syndrome or psychosis is a sudden state of severe confusion and rapid changes in the brain, which is sometimes accompanied by hallucinations and excessive physical activity, and the patient is not in a normal state. From the point of view of psychology, we can say that delirium is a type of mental disorder that may occur for a few hours during the day in the affected person, causing a disturbance in the person&#8217;s concentration and leading to his confusion. <\/p>\n\n<p>In this disease, a disturbance in alertness and a change in a person&#8217;s cognition occurs and spreads within a short period of time. Disturbance in mood, perception and behavior also occurs within a few hours or days and fluctuates, and after the cause is removed, it is quickly resolved. <\/p>\n\n<h1 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Symptoms_of_delirium\"><\/span>Symptoms of delirium <span class=\"ez-toc-section-end\"><\/span><\/h1>\n\n<p>Memory impairment<br\/>Inability to focus on specific subjects<br\/>Inability to answer questions and make decisions<br\/>distraction<br\/>Failure to react properly to environmental events<br\/>Decreased alertness and lack of awareness of time and place<br\/>delirium<\/p>\n\n<h1 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Predisposing_symptoms_of_delirium\"><\/span>Predisposing symptoms of delirium<span class=\"ez-toc-section-end\"><\/span><\/h1>\n\n<p>old age<br\/> male sex<br\/> Cognitive impairment\/dementia<br\/> Physical illness (cancer, cerebrovascular disease)<br\/>Psychiatric comorbidity (eg, depression)<br\/>Sensory deprivation (vision loss, hearing loss)<br\/>Movement problem<br\/> Dehydration\/malnutrition<br\/>Surgery and injection of anesthetic drugs<br\/>Quitting severe alcohol and drug addiction<br\/>Stroke or diseases such as dementia and Alzheimer&#8217;s<br\/>Severe asthma and lack of oxygen to the brain<br\/>Brain damage due to excessive or incorrect use of chemical drugs<br\/>Taking some sedatives, painkillers, blood pressure and sleeping pills<br\/>Intensification and persistence of infection in the body<\/p>\n\n<h1 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Cause_of_delirium\"><\/span>Cause of delirium<br\/><span class=\"ez-toc-section-end\"><\/span><\/h1>\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Toxic_brain_damage_encephalopathy\"><\/span>Toxic brain damage (encephalopathy).<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n<p>Due to exogenous toxins such as alcohol or endogenous toxins such as increased urea in the body<\/p>\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Metabolic_brain_injury\"><\/span>Metabolic brain injury<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n<p>Hyperthyroidism, reduction of electrolytes such as potassium and reduction of some vitamins such as B2<\/p>\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Infectious_brain_injury\"><\/span>Infectious brain injury<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n<p> Diseases such as encephalitis and typhoid<\/p>\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Traumatic_brain_apple\"><\/span>Traumatic brain apple<br\/><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n<p>Any factor that causes trauma to the brain, such as concussion or lightning<\/p>\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Hypoxic_brain_injury\"><\/span>Hypoxic brain injury<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n<p>Any kind of disease and injury that reduces oxygen to the brain.<\/p>\n\n<p>AIDS<\/p>\n\n<h1 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Types_of_delirium\"><\/span>Types of delirium<span class=\"ez-toc-section-end\"><\/span><\/h1>\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Hyperactive_delirium\"><\/span>Hyperactive delirium<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n<p>In hyperactive delirium, the person usually has symptoms such as restlessness, rapid mood changes, confusion, refusal to engage with others, and hallucinations. People with this type of delirium may react more to events and their surroundings, but these reactions are usually inappropriate and sometimes even threatening. They may be overly emotional or violent and hurt others. These people may also have anxious feelings and tend to escape and resist in contact with their surroundings.   <\/p>\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Hypoactive_delirium\"><\/span>Hypoactive delirium<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n<p>In hypoactive delirium, a person usually has symptoms such as drowsiness and confusion, desire to sleep, immobility and reduced activity. These people may react less to the events and the environment around them and sometimes even feel apathetic and indifferent to their surroundings. They usually interact less with others and in some cases may become completely self-absorbed and isolated from communication with their surroundings.  <\/p>\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Delirium_tremens\"><\/span>Delirium tremens<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n<p>Alcoholic delirium or alcohol delirium occurs for people who have had a severe addiction to alcohol or drugs for a long time and are trying to quit. Symptoms of this type of delirium may include extreme anxiety, fear, changes in mental status, and even specific hallucinations such as hand and leg tremors. These people usually need immediate medical care and treatment to avoid serious consequences such as hypotension and even electrolyte shock.  <\/p>\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Mixed_delirium\"><\/span>Mixed delirium<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n<p>Delirium is a combination of hyperactive and hypoactive delirium, and a person may have some symptoms of both during the day. This type of delirium usually faces more challenges in diagnosis and management, because different symptoms are seen in these people, which requires a different treatment approach. <\/p>\n\n<h1 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Diagnosis_of_delirium\"><\/span>Diagnosis of delirium<br\/><span class=\"ez-toc-section-end\"><\/span><\/h1>\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Blood_tests_to_diagnose_delirium\"><\/span>Blood tests to diagnose delirium<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n<p>This test involves checking the levels of various chemicals in the blood that can indicate changes in blood pressure, electrolyte levels, ammonia, inflammatory markers, and other signs of underlying diseases that may be associated with delirium. This test can help the doctor to identify the cause of delirium and choose the right treatment plan. <\/p>\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Head_scan_to_diagnose_delirium\"><\/span>Head scan to diagnose delirium<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n<p>A head scan, including a CT scan or MRI, can help the doctor detect any structural changes, tumors, bleeding, or blockages in the brain that may be causing deliriom symptoms. These scans may indicate brain damage or complications from other illnesses, such as a stroke, that may be the cause of delirium. <\/p>\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Thyroid_test\"><\/span>Thyroid test<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n<p>This test involves checking the levels of thyroid hormones in the blood. Disturbances in the levels of these hormones may cause cognitive and psychological disorders that may be associated with depression. Examining these levels can help the doctor identify the cause of thyroid disorders and apply the appropriate treatment.  <\/p>\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Liver_test\"><\/span>Liver test<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n<p>Liver tests include checking liver function and the levels of various chemicals in the blood. Reviewing this test can help identify complications from poisoning or liver disorders that may accompany delirium. <\/p>\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Chest_X-ray\"><\/span>Chest X-ray<br\/><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n<p>A chest radiograph may be useful in assessing respiratory status and diagnosing respiratory complications associated with delirium, especially in cases where respiratory infections are the cause of delirium. This test can help the doctor identify symptoms caused by respiratory infections such as pneumonia or other respiratory problems and apply the appropriate treatment.<br\/><br\/> <\/p>\n\n<h1 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Treatment_of_delirium\"><\/span>Treatment of delirium<br\/> <span class=\"ez-toc-section-end\"><\/span><\/h1>\n\n<p>The treatment of delirium includes two main strategies:<br\/><\/p>\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Diagnosis_and_treatment_of_the_underlying_medical_problem\"><\/span>Diagnosis and treatment of the underlying medical problem<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Management_of_behavioral_disorders\"><\/span>Management of behavioral disorders.<br\/><span class=\"ez-toc-section-end\"><\/span><\/h2>\n","protected":false},"excerpt":{"rendered":"<p>Delirium or acute cerebral syndrome Delirium or acute brain syndrome or psychosis is a sudden state of severe confusion and [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":7611,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[493],"tags":[504,505,503,502,507,509,506,510,501,508],"class_list":["post-8013","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-educational-articles","tag-cell-therapy","tag-dr-amirreza-boroumand","tag-gene-therapy","tag-genetics","tag-neurologist","tag-neurologist-en","tag-neurology","tag-p7medicine-en","tag-person-centered-medicine","tag-stem-cells"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Delirium - \u062f\u06a9\u062a\u0631 \u0627\u0645\u06cc\u0631\u0631\u0636\u0627 \u0628\u0631\u0648\u0645\u0646\u062f- \u0645\u062a\u062e\u0635\u0635 \u0645\u063a\u0632 \u0648 \u0627\u0639\u0635\u0627\u0628<\/title>\n<meta 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