Abstract
In patients with cancer, delirium occurs both as a transient central nervous system complication of disease and as a side effect of treatment. Dementia, while much less common, is a far more devastating complication because of its irreversible course. Both are mistaken for depression or an emotional response to stress. Prompt and early recognition of the symptoms and a thorough workup to establish the cause and treatment can prevent progression of delirium to coma and death, and the progression of dementia may be slowed. Recognizing diagnostic symptoms and signs and managing the psychologic and behavioral consequences are crucial to good patient care.
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References
Adams F (1984) Neuropsychiatric evaluation and treatment of delirium in the critically ill cancer patient. The Cancer Bulletin of the University of Texas MD. Anderson Hospital and Tumor Institute 36: 156–160
APA (1980) Diagnostic and statistical manual I II. APA, Washington DC
Bonhoeffer K (1910) Die symtomatischen Psychosen in Gefolge von akuten Infectionen und inneren Erkrankungen. Deuticke, Leipzig, p 94
Derogatis LR, Morrow GR, Fetting J, Penman D, Piasetsky S, Schmale A, Henricks M, Cornicke CL Jr (1983) The prevalence of psychiatric disorders among cancer patients. JAMA 249: 751–757
Donlon PT, Hopkin J, Tupin J (1979) Overview: efficacy and safety of the rapid neuroleptization method with injectable haloperidol. Am J Psychiatry 136: 273–278
Engel GL, Romano J (1959) Delirium: a syndrome of cerebral insufficiency. J Chron Dis 9: 260–277
Fleishman SB, Lesko LM (1989) Delirium and dementia. In: Holland JC, Rowland JH (eds) Psychooncology: psychological care of the patient with cancer. Oxford University Press, New York, pp 342–355
Folstein MF, Fetting JH, Lobo•A, Niaz U, Capozzoli K (1984) Cognitive assessment of cancer patients. Cancer 53: (suppl 15): 2250–2255
Jacobs JW (1977) Screening for organic mental syndromes in the medically ill. Ann Intern Med 86: 40–46
Lipowski ZJ (1980) A new look at organic brain syndromes. Am J Psychiatry 137: 674–678
Lipowksi ZJ (1983) Transient cognitive disorder (delirium, acute confusional states) in the elderly. Am J Psychiatry 140: 1426–1436
Liston EH (1984) Diagnosis and management of delirium in the elderly patient. Psychiatry Ann 14: 109–118
Pauker NE, Folstein MF, Moran TH (1978) The clinical utility of the hand-held tachistoscope. J Nery Ment Dis 166: 126–129
Plum F, Posner JB (1972) The diagnosis of stupor and coma, 2nd ed. Davis, Philadelphia, p 4
Posner JB (1978) Neurologic complications of systemic cancer. DM 25: 1–60
Posner JB (1979) Delirium and exogenous metabolic brain disease. In: Beeson PB, McDermott W, Wynaarden JB (eds) Cecil textbook of medicine. Saunders, Philadelphia, pp 641 651
Seymour DG, Henschke PJ, Cape RD, Campbell AJ (1980) Acute confusional states and dementia in the elderly: the role of dehydration/volume depletion, physical illness and age. Age Aging, 9: 137–146
Wells CE (1979) Pseudodementia. Am J Psychiatry 136: 859–900
Young DF, Posner JB (1980) Nervous system toxicity of the chemotherapeutic agents. In: Viken PM, Bruyn GW (eds) Handbook of clinical neurology, vol 39. Neurological manifestations of systemic diseases Part II. Elsevier, New York
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© 1991 Springer-Verlag Berlin · Heidelberg
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Lesko, L.M., Fleishman, S. (1991). Treatment and Support in Confusional States. In: Senn, HJ., Glaus, A. (eds) Supportive Care in Cancer Patients II. Recent Results in Cancer Research, vol 121. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-84138-5_45
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DOI: https://doi.org/10.1007/978-3-642-84138-5_45
Publisher Name: Springer, Berlin, Heidelberg
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