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Use of a Psychophysiological Script-driven Imagery Experiment to Study Trauma-related Dissociation in Borderline Personality Disorder
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Post traumatic hyperactive delirium.

S Sabhesan1, M Natarajan

  • 1Psychiatrist, (Former)JCMR Project, Department of Neurosurgery. Govt. Rajaji Hospital, Madurai.

Indian Journal of Psychiatry
|September 20, 2011
PubMed
Summary
This summary is machine-generated.

Hyperactive delirium after head injury is common. Alcohol dependence was more frequent in these patients, and they experienced more psychiatric problems later.

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Area of Science:

  • Neuroscience
  • Psychiatry
  • Trauma Care

Background:

  • Hyperactive delirium is a frequent complication in the acute phase of head injury recovery.
  • Understanding the contributing factors and long-term outcomes is crucial for patient management.

Purpose of the Study:

  • To investigate the characteristics and outcomes of patients experiencing hyperactive delirium post-head injury.
  • To identify risk factors associated with the development of hyperactive delirium.

Main Methods:

  • Prospective follow-up of 29 patients with hyperactive delirium after head injury.
  • Comparison with control groups to assess risk factors.
  • Analysis of injury mechanisms (acceleration vs. contact) and associated cerebral disturbances.

Main Results:

  • Alcohol dependence was significantly more prevalent in patients with hyperactive delirium compared to controls.
  • Delirium occurrence was linked to generalized cerebral disturbances from diffuse axonal injury or metabolic/post-seizure issues.
  • Patients with hyperactive delirium had a higher incidence of subsequent psychiatric problems.

Conclusions:

  • Alcohol dependence is a significant risk factor for hyperactive delirium following head injury.
  • The type of head injury (acceleration vs. contact) influences the underlying cerebral disturbances leading to delirium.
  • Hyperactive delirium post-head injury is associated with an increased risk of long-term psychiatric sequelae.