Altered Mental State vs. "Style of Discourse:" Reply to Samarin

1972 ◽  
Vol 11 (3) ◽  
pp. 297 ◽  
Author(s):  
Felicitas D. Goodman
Brain Injury ◽  
2019 ◽  
Vol 33 (8) ◽  
pp. 1064-1069 ◽  
Author(s):  
Durga Roy ◽  
Matthew E. Peters ◽  
Allen Everett ◽  
Jeannie-Marie Leoutsakos ◽  
Haijuan Yan ◽  
...  

1993 ◽  
Vol 27 (4) ◽  
pp. 638-652 ◽  
Author(s):  
Bruce Spittle ◽  
Josie Parker

Wernicke's encephalopathy producing an altered mental state may occur in malnourished psychiatric patients even in the absence of alcohol abuse. A case is reported of a woman, aged 61 years, with schizophrenia who refused her medication for four months, had the delusion she was dying from a tumour, and withdrew to her bed with a neglect of her nutrition. She was committed to hospital in a mute unresponsive state and after taking some food and fluids for four days lapsed into coma. She responded within three hours to the administration of thiamine. Clinicians need to remain vigilant to the possibility that an altered mental state in malnourished patients may be due to thiamine deficiency rather than to the primary psychiatric disorder. If doubt exists as to the presence of Wernicke's encephalopathy, then parenteral thiamine should be administered.


2015 ◽  
Vol 49 ◽  
pp. 245-249 ◽  
Author(s):  
Anu Muraja-Murro ◽  
Esa Mervaala ◽  
Susanna Westeren-Punnonen ◽  
Pasi Lepola ◽  
Juha Töyräs ◽  
...  

Gerontology ◽  
2007 ◽  
Vol 53 (6) ◽  
pp. 388-396 ◽  
Author(s):  
Stefan Beyenburg ◽  
Christian E. Elger ◽  
Markus Reuber

2015 ◽  
Vol 29 (6) ◽  
pp. 697-705 ◽  
Author(s):  
Pasi Lepola ◽  
Sami Myllymaa ◽  
Juha Töyräs ◽  
Taina Hukkanen ◽  
Esa Mervaala ◽  
...  

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