Confusion

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Confusion
Confused child.jpg
A child confused by the camera
Specialty Psychiatry

In medicine, confusion is the quality or state of being bewildered or unclear. The term "acute mental confusion" [1] is often used interchangeably with delirium [2] in the International Statistical Classification of Diseases and Related Health Problems and the Medical Subject Headings publications to describe the pathology. These refer to the loss of orientation, or the ability to place oneself correctly in the world by time, location and personal identity. Mental confusion is sometimes accompanied by disordered consciousness (the loss of linear thinking) and memory loss (the inability to correctly recall previous events or learn new material). [3]

Contents

Etymology

The word confusion derives from the Latin word, confundo, which means "confuse, mix, blend, pour together, disorder, embroil."

Causes

Confusion may result from drug side effects or from a relatively sudden brain dysfunction. Acute confusion is often called delirium (or "acute confusional state"), [4] although delirium often includes a much broader array of disorders than simple confusion. These disorders include the inability to focus attention; various impairments in awareness, and temporal or spatial dis-orientation. Mental confusion can result from chronic organic brain pathologies, such as dementia [ citation needed ], as well.

Other

Differential diagnosis

The most common causes of drug induced acute confusion are dopaminergic drugs (used for the treatment of Parkinson's disease), diuretics, tricyclic, tetracyclic antidepressants and benzodiazepines or alcohol. The elderly, and especially those with pre-existing dementia, are most at risk for drug induced acute confusional states. [7] New research is finding a link between vitamin D deficiency and cognitive impairment (which includes "foggy brain"). [8]

See also

Related Research Articles

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Clouding of consciousness, also called brain fog or mental fog, occurs when a person is slightly less wakeful or aware than normal. They are less aware of time and their surroundings, and find it difficult to pay attention. People describe this subjective sensation as their mind being "foggy".

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<span class="mw-page-title-main">Alcohol withdrawal syndrome</span> Medical condition

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<span class="mw-page-title-main">Neurological disorder</span> Any disorder of the nervous system

A neurological disorder is any disorder of the nervous system. Structural, biochemical or electrical abnormalities in the brain, spinal cord or other nerves can result in a range of symptoms. Examples of symptoms include paralysis, muscle weakness, poor coordination, loss of sensation, seizures, confusion, pain, tauopathies, and altered levels of consciousness. There are many recognized neurological disorders, some are relatively common, but many are rare.

<span class="mw-page-title-main">Nutritional neuroscience</span> Scientific discipline

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References

  1. Confusion Definition on Oxford Dictionaries.
  2. Delirium Archived 13 May 2019 at the Wayback Machine , Symptom Finder online.
  3. confusion in TheFreeDictionary, citing: Dorland's Medical Dictionary for Health Consumers; 2007; Saunders.
  4. Acute Confusional State; Dr. Gurvinder Rull; patient.info; Document ID/Version/Reference: 1714/22/bgp2104; updated: 13 Jan 2009; accessed: when?.
  5. Broderick, E. D.; Metheny, H.; Crosby, B. (2021). "StatPearls". StatPearls. PMID   30521219.
  6. "Confusion: Symptoms, Signs, Causes & Treatment". MedicineNet. Retrieved 3 February 2016.
  7. Hufschmidt, A.; Shabarin, V.; Zimmer, T. (December 2009). "Drug-induced confusional states: the usual suspects?". Acta Neurologica Scandinavica . 120 (6): 436–8. doi: 10.1111/j.1600-0404.2009.01174.x . PMID   19804475. S2CID   24861855.
  8. Etgen, T.; Sander, D.; Bickel, H.; Sander, K.; Förstl, H. (2012). "Vitamin D Deficiency, Cognitive Impairment and Dementia: A Systematic Review and MetaAnalysis" (PDF). Dement Geriatr Cogn Disord. 33 (5): 297–305. doi:10.1159/000339702. PMID   22759681. S2CID   5303760.