Confused

Introduction Ambiguity is a degree of disturbance of consciousness that is deeper than lethargy. It is a disturbance of consciousness based on the change of consciousness content. It is characterized by loss of attention, apathy, a decrease in disorientation, lack of coherence in language, and understanding of the surrounding environment. And the sentence is lower than the normal level, there may be illusions, hallucinations, insults, etc., which are common in the high fever period of acute severe infection. There is also a kind of confusion that is mainly caused by excitability, accompanied by a perceptual disorder called sputum, which is characterized by loss of strength, discomfort, and incitement.

Cause

The cause of confusion:

Intracranial disease:

1. Localized lesions:

(1) Cerebrovascular disease: cerebral hemorrhage, cerebral infarction, transient ischemic attack, etc.

(2) intracranial space-occupying lesions: primary or metastatic intracranial tumors, brain abscess, brain granuloma, brain parasitic cysts.

(3) craniocerebral trauma: brain contusion, intracranial hematoma and so on.

2. Diffuse brain lesions:

(1) Intracranial infectious diseases: various encephalitis, meningitis, arachnoiditis, ependymitis, intracranial sinus infection.

(2) diffuse brain injury.

(3) Subarachnoid hemorrhage.

(4) cerebral edema.

(5) Brain degeneration and demyelinating lesions.

an examination

Related inspection

Carbon monoxide conscious state brain CT examination

There is no special clinical examination for ambiguity, and its diagnosis is diagnosed by asking the patient's medical history in detail and the patient's current clinical manifestations. Generally, before the confusion, the head is affected by impact, major mental stimulation, or risk factors such as previous aneurysms, hypertension, cerebral hemorrhage, etc., and shows signs of loss of attention, emotional apathy, and lack of language. Coherence, understanding and judgment of the surrounding environment is lower than normal, and there may be illusions, hallucinations, incitements, insanity and so on.

Differential diagnosis

Differential diagnosis

Absence of epilepsy: The absence of epileptic seizures is dominated by disturbances of consciousness, characterized by a sudden onset of seizures without any aura. The patient's ongoing movement is suddenly interrupted, dazed, and can be accompanied by a double eye flip. Some patients can terminate the episode when people talk to them. This episode lasts from a few seconds to 30 seconds, and more than one minute is rare.

Complex partial seizures of epilepsy: partial seizures with varying degrees of disturbance of consciousness. The clinical manifestations may vary greatly, and a partial partial seizure may occur first (the time may be long or short), and then the disturbance of consciousness may occur.

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