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Related Experiment Videos

Acute confusional state in childhood.

R Amit1

  • 1Department of Pediatrics, Hadassah University Hospital, Mt. Scopus, Jerusalem, Israel.

Child'S Nervous System : Chns : Official Journal of the International Society for Pediatric Neurosurgery
|October 1, 1988
PubMed
Summary

Acute confusional state (ACS) involves sudden mental status changes. This review covers common and rare pediatric causes, including migraine and epilepsy, aiding diagnosis.

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Area of Science:

  • Neurology
  • Pediatric Neurology
  • Neuroscience

Background:

  • Acute confusional state (ACS) is a sudden alteration in mental status, potentially global or specific to higher cortical functions.
  • Diagnosis can be challenging without complete medical history, signs, and symptoms.
  • The specificity of impairment relates to the brain's anatomical location, not the pathological process itself.

Observation:

  • Presents two case reports of unusual ACS causes: basilar migraine causing transient global amnesia and absence status.
  • Reviews common pediatric ACS etiologies.
  • Details rare causes like non-convulsive epilepsy and migraine.

Findings:

  • Migraine and non-convulsive epilepsy are identified as rare but significant causes of ACS.
  • Differential diagnosis of ACS requires consideration of diverse etiological factors.
  • Auxiliary tests are crucial for diagnosing challenging ACS cases.

Implications:

  • Highlights the importance of considering rare neurological conditions in ACS differential diagnosis.
  • Emphasizes the need for thorough diagnostic workups in pediatric neurology.
  • Provides a resource for clinicians managing acute confusional states in children.

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