{"id":1933,"date":"2010-09-16T11:54:00","date_gmt":"2010-09-16T16:54:00","guid":{"rendered":"http:\/\/medicinainterna.com.mx\/2010\/09\/16\/clasificacion-de-los-estados-confusionales-agudos"},"modified":"2010-09-16T11:54:00","modified_gmt":"2010-09-16T16:54:00","slug":"clasificacion-de-los-estados-confusionales-agudos","status":"publish","type":"post","link":"https:\/\/medicinainterna.com.mx\/?p=1933","title":{"rendered":"Clasificaci\u00f3n de los estados confusionales agudos."},"content":{"rendered":"
\u00a0<\/h5>\n
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1. Estados confusionales agudos con hipoactividad psicomotora<\/u>
\u00a0 1.1. Sin focalidades neurol\u00f3gicas claras y LCR normal:
\u00a0\u00a0\u00a0 1.1.1. Encefalopat\u00eda metab\u00f3lica, hep\u00e1tica, ur\u00e9mica, hiperc\u00e1pnica, hipogluc\u00e9mica, coma diab\u00e9tico, hipercalcemia, porfiria.
\u00a0\u00a0\u00a0 1.1.2. Enfermedades infecciosas.
\u00a0\u00a0\u00a0 1.1.3. Reducci\u00f3n del flujo cerebral o su contenido de O2: encefalopat\u00eda hip\u00f3xica, ICC, arritmias card\u00edacas
\u00a0\u00a0\u00a0 1.1.4. Psicosis: de UCI, postoperatoria, postraum\u00e1tica, puerperal.
\u00a0\u00a0\u00a0 1.1.5. Intoxicaci\u00f3n por drogas: opiaceos, barbit\u00faricos, antidepresivos tric\u00edclicos, otros sedantes, anfetaminas, anticolin\u00e9rgicos.
\u00a0 1.2. Con focalidades neurol\u00f3gicas y\/o LCR patol\u00f3gico:
\u00a0\u00a0\u00a0 1.2.1. AVC y otras lesiones ocupantes de espacio (especialmente parietal derecho, inferofrontal y temporal): infarto isqu\u00e9mico, hemorragias (intraparenquimatosa, subdural, epidural), tumores, abscesos, granuloma.
\u00a0\u00a0\u00a0 1.2.2. Hemorragia subaracnoidea.
\u00a0\u00a0\u00a0 1.2.3. Infecciones: meningitis, encefalitis.
\u00a0 1.3. Demencia
2. Delirio<\/u>
\u00a0 2.1. Sin focalidades neurol\u00f3gicas
\u00a0\u00a0\u00a0 2.1.1. Fiebre tifoidea.
\u00a0\u00a0\u00a0 2.1.2. Neumon\u00eda.
\u00a0\u00a0\u00a0 2.1.3. Septicemia.
\u00a0\u00a0\u00a0 2.1.4. Fiebre reum\u00e1tica.
\u00a0\u00a0\u00a0 2.1.5. Tirotoxicosis e intoxicaci\u00f3n por ACTH.
\u00a0\u00a0\u00a0 2.1.6. Estados postopertatorios y postraum\u00e1ticos.
\u00a0 2.2. Con focalidades neurol\u00f3gicas
\u00a0\u00a0\u00a0 2.2.1. Vascular, neopl\u00e1sico, etc, especialmente si afectan l\u00f3bulos temporales y parietales.
\u00a0\u00a0\u00a0 2.2.2. Contusi\u00f3n cerebral y laceraci\u00f3n: delirio traum\u00e1tico.
\u00a0\u00a0\u00a0 2.2.3. Meningitis aguda purulenta y tuberculosa.
\u00a0\u00a0\u00a0 2.2.4. Hemorragia subaracnoidea.
\u00a0\u00a0\u00a0 2.2.5. Encefalitis v\u00edrica.
\u00a0 2.3. Asociado a estados de abstinencia, intoxicaciones ex\u00f3genas y estados postconvulsivos:
\u00a0\u00a0\u00a0 2.3.1. Deprivaci\u00f3n de alcohol (delirium tremens), barbit\u00faricos y sedantes no barbit\u00faricos.
\u00a0\u00a0\u00a0 2.3.2. Intoxicaciones: escopolamina, atropina, amfeteminas, etc.
\u00a0\u00a0\u00a0 2.3.3. Delirio postconvulsivo.<\/p>\n<\/td>\n<\/tr>\n

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LCR:<\/b> l\u00edquido cefalo-raquideo; ICC:<\/b> insuficiencia card\u00edaca congestiva; AVC:<\/b> accidente vascular pulmonar; ACTH:<\/b> hormona adenocorticotropa.<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Fuente: Tomado de: Felice KJ, Schwartz WJ, Drachman DA: Evaluating the patient with altered conciousness in the Intensive Care Unit. En: Rippe JM, Irwin RS, Alper JS, Fink MP: Intensive Care Medicine. Little, Brown Co, Boston 1991:1546-1553<\/p>\n

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\u00a0 1. Estados confusionales agudos con hipoactividad psicomotora\u00a0 1.1. Sin focalidades neurol\u00f3gicas claras y LCR normal: \u00a0\u00a0\u00a0 1.1.1. Encefalopat\u00eda metab\u00f3lica, hep\u00e1tica, ur\u00e9mica, hiperc\u00e1pnica, hipogluc\u00e9mica, coma diab\u00e9tico, hipercalcemia, porfiria. \u00a0\u00a0\u00a0 1.1.2. Enfermedades infecciosas. \u00a0\u00a0\u00a0 1.1.3. Reducci\u00f3n del flujo cerebral o su contenido de O2: encefalopat\u00eda hip\u00f3xica, ICC, arritmias card\u00edacas \u00a0\u00a0\u00a0 1.1.4. Psicosis: de UCI, postoperatoria, postraum\u00e1tica, … Continue reading “Clasificaci\u00f3n de los estados confusionales agudos.”<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[15],"tags":[],"class_list":["post-1933","post","type-post","status-publish","format-standard","hentry","category-neurologia"],"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts\/1933","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1933"}],"version-history":[{"count":0,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts\/1933\/revisions"}],"wp:attachment":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1933"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1933"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1933"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}