Skip to main content
SpringerLink
Log in

Akute Hirnfunktionsstörungen

Delir nach Schlaganfall

  • Zertifizierte Fortbildung Neurologie
  • Published:
InFo Neurologie + Psychiatrie Aims and scope

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

1

©A. Menge, R. Fleischmann

2
3

©A. Mengel, R. Fleischmann (4)

Literatur

  1. Ringleb P. S2e Leitlinie zurAkuttherapie des ischämischen SchlaganfallsAWMF-Registernummer 030-046Version 2021. https://dgn.org/leitlinien/ll-030-046-akuttherapie-des-ischaemischen-schlaganfalls-2021/

  2. Fleischmann R, Warwas S, Andrasch T, Kunz R, Witt C, Mengel A, et al. Course and Recognition of Poststroke Delirium: A Prospective Noninferiority Trial of Delirium Screening Tools. Stroke 2021;52(2):471-8

  3. Shi Q, Presutti R, Selchen D, Saposnik G. Delirium in acute stroke: a systematic review and meta-analysis. Stroke 2012;43(3):645-9

  4. Jackson JC, Pandharipande PP, Girard TD, Brummel NE, Thompson JL, Hughes CG, et al. Depression, post-traumatic stress disorder, and functional disability in survivors of critical illness in the BRAIN-ICU study: a longitudinal cohort study. Lancet Respir Med 2014;2(5):369-79

  5. Chan EKW, Shen Q, Cordato D, Kneebone I, Xu YH, Chan DKY. Delirium post-stroke: short- to long-term effect on anxiety and depression compared to effect on cognition. Top Stroke Rehabil 2017;24(8):597-600

  6. Qu J, Chen Y, Luo G, Zhong H, Xiao W, Yin H. Delirium in the Acute Phase of Ischemic Stroke: Incidence, Risk Factors, and Effects on Functional Outcome. J Stroke Cerebrovasc Dis 2018 Oct;27(10):2641-7

  7. Turco R, Bellelli G, Morandi A, Gentile S, Trabucchi M. The effect of poststroke delirium on short-term outcomes of elderly patients undergoing rehabilitation. Journal of geriatric psychiatry and neurology 2013;26(2):63-8

  8. Pandharipande PP, Girard TD, Jackson JC, Morandi A, Thompson JL, Pun BT, et al. Long-term cognitive impairment after critical illness. The New England journal of medicine 2013;369(14):1306-16

  9. Oldenbeuving AW, de Kort PL, Jansen BP, Algra A, Kappelle LJ, Roks G. Delirium in the acute phase after stroke: incidence, risk factors, and outcome. Neurology 2011;76(11):993-9

  10. Maldonado JR. Delirium pathophysiology: An updated hypothesis of the etiology of acute brain failure. International journal of geriatric psychiatry 2018;33(11):1428-57

  11. Aranake-Chrisinger A, Avidan MS. Postoperative delirium portends descent to dementia. British journal of anaesthesia 2017;119(2):285-8

  12. American Psychiatric Association. Diagnostic and statistical manual of mental disorders, (DSM-5®): American Psychiatric Pub; 2013.

  13. Falkai, P., & American Psychiatric Association. 2015. Diagnostisches und statistisches Manual psychischer Störungen : DSM-5® (5. Fassung ed.). Göttingen: Hogrefe

  14. Radtke FM, Franck M et al. Die Intensive Care Delirium Screening Checklist (ICDSC). Anästhesiol Intensivmed Notfallmed Schmerzther 2009;2:80-86

  15. Günther U, Wrigge H et al. German short version of the Confusion Assessment Method for routine delirium monitoring. Anästh Intensivmed 2009;50:592-600

  16. De J, Wand AP. Delirium Screening: A Systematic Review of Delirium Screening Tools in Hospitalized Patients. The Gerontologist 2015;55(6):1079-99

  17. Serpa Neto A, Slooter AJ. Delirium detection in stroke patients. Critical care medicine 2012;40(7):2266-7; author reply 7-8

  18. Patel MB, Bednarik J, Lee P, Shehabi Y, Salluh JI, Slooter AJ, et al. Delirium Monitoring in Neurocritically Ill Patients: A Systematic Review. Critical care medicine 2018;46(11):1832-41

  19. Berthier ML. Poststroke aphasia : epidemiology, pathophysiology and treatment. Drugs Aging 2005;22(2):163-82

  20. Bosselmann C, Zurloh J, Stefanou MI, Stadler V, Weber Y, Lerche H, et al. Delirium Screening in Aphasic Patients With the Intensive Care Delirium Screening Checklist (ICDSC): A Prospective Cohort Study. Front Neurol 2019;10:1198

  21. FDA-NIH Biomarker Working Group. BEST (Biomarkers, EndpointS, and other Tools) Resource. Food and Drug Administration (US) 2016.

  22. Mahanna-Gabrielli E, Schenning KJ, Eriksson LI, Browndyke JN, Wright CB, Culley DJ, et al. State of the clinical science of perioperative brain health: report from the American Society of Anesthesiologists Brain Health Initiative Summit 2018. British journal of anaesthesia 2019;123(4):464-78

  23. Nitchingham A, Kumar V, Shenkin S, Ferguson KJ, Caplan GA. A systematic review of neuroimaging in delirium: predictors, correlates and consequences. International journal of geriatric psychiatry 2018;33(11):1458-78

  24. Hufschmidt A, Shabarin V. Diagnostic yield of cerebral imaging in patients with acute confusion. Acta neurologica Scandinavica 2008;118(4):245-50

  25. van Montfort SJT, van Dellen E, van den Bosch AMR, Otte WM, Schutte MJL, Choi SH et al. Resting-state fMRI reveals network disintegration during delirium NeuroImage Clinical 2018;20:35-41

  26. Naeije G, Depondt C, Meeus C, Korpak K, Pepersack T, Legros B. EEG patterns compatible with nonconvulsive status epilepticus are common in elderly patients with delirium: a prospective study with continuous EEG monitoring. Epilepsy Behav 2014;36:18-21

  27. Baron R, Binder A, Biniek R, Braune S, Buerkle H, Dall P, et al. Evidence and consensus based guideline for the management of delirium, analgesia, and sedation in intensive care medicine. Revision 2015 (DAS-Guideline 2015) - short version. Ger Med Sci 2015;13:Doc19

  28. Kimchi EY, Neelagiri A, Whitt W, Sagi AR, Ryan SL, Gadbois G, et al. Clinical EEG slowing correlates with delirium severity and predicts poor clinical outcomes. Neurology 2019;93(13):e1260-e71

  29. Fleischmann R, Trankner S, Bathe-Peters R, Ronnefarth M, Schmidt S, Schreiber SJ, et al. Diagnostic Performance and Utility of Quantitative EEG Analyses in Delirium: Confirmatory Results From a Large Retrospective Case-Control Study. Clinical EEG and neuroscience 2018:1550059418767584

  30. van der Kooi AW, Zaal IJ, Klijn FA, Koek HL, Meijer RC, Leijten FS, et al. Delirium detection using EEG: what and how to measure. Chest 2015;147(1):94-101

  31. Shafi MM, Santarnecchi E, Fong TG, Jones RN, Marcantonio ER, Pascual-Leone A, et al. Advancing the Neurophysiological Understanding of Delirium. J Am Geriatr Soc 2017 Jun;65(6):1114-8

  32. Stephan KE, Iglesias S, Heinzle J, Diaconescu AO. Translational Perspectives for Computational Neuroimaging. Neuron 2015;87(4):716-32

  33. Bai Y, Xia X, Kang J, Yin X, Yang Y, He J, et al. Evaluating the Effect of Repetitive Transcranial Magnetic Stimulation on Disorders of Consciousness by Using TMS-EEG. Front Neurosci 2016;10:473

  34. Girard TD, Exline MC, Carson SS, Hough CL, Rock P, Gong MN, et al. Haloperidol and Ziprasidone for Treatment of Delirium in Critical Illness. N Engl J Med 2018;379(26):2506-16

  35. Nishikimi M, Numaguchi A, Takahashi K, Miyagawa Y, Matsui K, Higashi M, et al. Effect of Administration of Ramelteon, a Melatonin Receptor Agonist, on the Duration of Stay in the ICU: A Single-Center Randomized Placebo-Controlled Trial. Crit Care Med 2018;46(7):1099-105

  36. Mengel A, Zurloh J, Bosselmann C, Brendel B, Stadler V, Sartor-Pfeiffer J et al. Delirium REduction after administration of melatonin in acute ischemic stroke (DREAMS): A propensity score-matched analysis. European journal of neurology 2021;28(6):1958-66

  37. MaschkeM et al. S1 Leitlienie: Delir und Verwirrtheits-zustände inklusive Alkoholentzugsdelir. Leitlinien für Diagnostik und Therapie in der Neurologie. 2020. https://dgn.org/leitlinien/ll-030-006-delir-und-verwirrtheitszustaende-inklusive-alkoholentzugsdelir/

  38. Burry L, Hutton B, Williamson DR, Mehta S, Adhikari NK, Cheng W, et al. Pharmacological interventions for the treatment of delirium in critically ill adults. Cochrane Database Syst Rev 2019;9:CD011749

Download references

Author information

Authors and Affiliations

  1. Universitätsklinikum Tübingen, Klinik für Neurologie mit Schwerpunkt neurovaskuläre Erkrankungen und Neuroimmunologie, Hoppe-Seyler-Str.3, 72076, Tübingen, Germany

    Annerose Mengel

  2. Klinik für Neurologie, Universitätsklinik Greifswald, Greifswald, Germany

    Robert Fleischmann

Authors
  1. Annerose Mengel
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Robert Fleischmann
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Annerose Mengel.

Ethics declarations

Die Autorin und der Autor erklären, dass sie sich bei der Erstellung des Beitrages von keinen wirtschaftlichen Interessen leiten ließen. Sie legen folgende potenzielle Interessenkonflikte offen: keine.

Der Verlag erklärt, dass die inhaltliche Qualität des Beitrags durch zwei unabhängige Gutachten geprüft wurde. Werbung in dieser Zeitschriftenausgabe hat keinen Bezug zur CME-Fortbildung. Der Verlag garantiert, dass die CME-Fortbildung sowie die CME-Fragen frei sind von werblichen Aussagen und keinerlei Produktempfehlungen enthalten.

Dies gilt insbesondere für Präparate, die zur Therapie des dargestellten Krankheitsbildes geeignet sind.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Mengel, A., Fleischmann, R. Delir nach Schlaganfall. InFo Neurologie 24, 30–39 (2022). https://doi.org/10.1007/s15005-022-2262-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s15005-022-2262-z

Search

Navigation