Grover Sandeep, Malhotra Savita, Bharadwaj Rahul, Bn Subodh, Kumar Suresh
Department of Psychiatry, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
Int J Psychiatry Med. 2009;39(2):179-87. doi: 10.2190/PM.39.2.f.
To study the clinical profile of children and adolescents (< or = 14 years) referred to the Consultation-Liaison (CL) psychiatry services of a Tertiary Care Centre.
Retrospective chart review.
Patients seen by the CL psychiatry services of Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh.
Subjects diagnosed as delirium (as per ICD-10) during their inpatient stay was done.
phenomenology of delirium and response to treatment.
Forty-six children and adolescents were diagnosed as delirium by the psychiatry consultation-liaison team. The most common underlying pathology was infection of various types, followed by neoplasms. All subjects exhibited sleep-wake cycle disturbance and impaired orientation. Other common symptoms were impaired attention (89.5%), impaired short-term memory (84.2%), agitation (68.4%), and lability of affect (60.5%). Delusions and hallucinations were reported by only a few patients. Most of the patients were treated with low dose haloperidol and they responded well.
Sleep wake cycle disturbances and cognitive dysfunction are common in children and adolescents with delirium.
研究转诊至三级医疗中心会诊-联络（CL）精神科服务的儿童及青少年（≤14岁）的临床特征。
回顾性病历审查。
由昌迪加尔医学教育与研究研究生院精神病学系CL精神科服务诊治的患者。
对住院期间被诊断为谵妄（根据ICD-10）的受试者进行研究。
谵妄的现象学及治疗反应。
精神科会诊-联络团队诊断出46名儿童及青少年患有谵妄。最常见的潜在病理是各种类型的感染，其次是肿瘤。所有受试者均表现出睡眠-觉醒周期紊乱和定向障碍。其他常见症状包括注意力受损（89.5%）、短期记忆受损（84.2%）、激越（68.4%）和情感不稳定（60.5%）。只有少数患者报告有妄想和幻觉。大多数患者接受低剂量氟哌啶醇治疗，反应良好。
睡眠-觉醒周期紊乱和认知功能障碍在患有谵妄的儿童及青少年中很常见。
