[Psychiatric pathology after extracorporeal cardiac surgery: a case report of tardive postoperative cognitive dysfunction].

J L Hernández Fleta, T Uría Rivera, S Santamarína Montila, I Serrano Quintana
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Abstract

Clinical observation: A 67-year-old female patient operated of a severe aortic esthenosis with extracorporeal circulation during cardiac surgery, developed psychiatric disturbances with excitement and delirium, being necessary internamtient in a psychiatric ward, a month later. The evolution was right after neuroleptic treatment and nowdays she's assimptomatic. We review what is wrote about posteparative cognitive dysfunction (POCD), being this a tardive presentation case. We analize the definition, prevalence, etiology, pathofisiology, treatment and prevention since it is a reversible surgery complication but if it isn't early diagnosed and treated, its morbidity and mortality can be high.

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[体外心脏手术后精神病理:迟发性术后认知功能障碍1例报告]。
临床观察:67岁女性患者在心脏手术中因严重主动脉粥样硬化合并体外循环而行手术,术后出现精神障碍,伴兴奋、谵妄,1个月后住院。在接受了抗精神病药物治疗后就出现了这种变化现在她已经无症状了。我们回顾了关于术后认知功能障碍(POCD)的文献,因为这是一种迟发性的表现。由于它是一种可逆性的手术并发症,但如果不及早诊断和治疗,其发病率和死亡率可能很高,因此我们分析了它的定义、患病率、病因、病理、治疗和预防。
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[Benzodiazepines in the treatment of schizophrenia: a review]. [Psychiatric symptoms in Cushing syndrome: a clinical case]. [Apolipoproteins and cognitive deterioration]. [Normative data for the neuropsychological evaluation of intravenous drug users]. [Importance of the early diagnosis of malignant neuroleptic syndrome: report of 2 cases].
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