TY - JOUR
T1 - Acute Confusional State and Acute Agitated Delirium
T2 - Occurrence After Infarction in the Right Middle Cerebral Artery Territory
AU - Mori, Etsuro
AU - Yamadori, Atsushi
N1 - Copyright:
Copyright 2015 Elsevier B.V., All rights reserved.
PY - 1987/11
Y1 - 1987/11
N2 - Acute confusional state (ACS) and acute agitated delirium (AAD) after infarction in the right middle cerebral artery territory were investigated in 41 consecutive patients. Acute confusional state was diagnosed on the basis of the results of the Mini-Mental State Examination, and AAD was distinguished from ACS by the characteristic behavioral abnormality. Of these patients, 25 presented with ACS, and six with AAD. Acute confusional state and AAD are common syndromes after infarction of the right middle cerebral artery, and infarction in this territory, therefore, has an important clinical implication as a cause of these syndromes. Acute confusional state is a disorder in which cognitive and integrative functions become defective, reflecting disturbance of global attention, and is closely correlated with other right hemispheric global and directed attentional disorders. It is linked to damage to the right frontostriatal region and is associated with lesion volume. In comparison, AAD is a disorder in which emotional and affective components are predominantly altered. None of the right hemispheric behavioral syndromes correlated with AAD. It may be related to damage to the right middle temporal gyrus.
AB - Acute confusional state (ACS) and acute agitated delirium (AAD) after infarction in the right middle cerebral artery territory were investigated in 41 consecutive patients. Acute confusional state was diagnosed on the basis of the results of the Mini-Mental State Examination, and AAD was distinguished from ACS by the characteristic behavioral abnormality. Of these patients, 25 presented with ACS, and six with AAD. Acute confusional state and AAD are common syndromes after infarction of the right middle cerebral artery, and infarction in this territory, therefore, has an important clinical implication as a cause of these syndromes. Acute confusional state is a disorder in which cognitive and integrative functions become defective, reflecting disturbance of global attention, and is closely correlated with other right hemispheric global and directed attentional disorders. It is linked to damage to the right frontostriatal region and is associated with lesion volume. In comparison, AAD is a disorder in which emotional and affective components are predominantly altered. None of the right hemispheric behavioral syndromes correlated with AAD. It may be related to damage to the right middle temporal gyrus.
UR - http://www.scopus.com/inward/record.url?scp=0023270212&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0023270212&partnerID=8YFLogxK
U2 - 10.1001/archneur.1987.00520230029009
DO - 10.1001/archneur.1987.00520230029009
M3 - Article
C2 - 3675246
AN - SCOPUS:0023270212
VL - 44
SP - 1139
EP - 1143
JO - Archives of Neurology
JF - Archives of Neurology
SN - 0003-9942
IS - 11
ER -