Criterios adecuados | Cambio agudo en el estado mental, delirio, y brote psicótico de novo

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}" aria-label="PDF" role="button"> </a> </div> <h1>Cambio agudo en el estado mental, delirio, y brote psic贸tico de novo </h1> <div class="sectiondiv"> <p><span>Los cambios en el estado mental pueden estar causados por una variedad de factores, incluyendo intoxicación, infección, <a class="fullURL" href="https://www.radiologyinfo.org/es/info/stroke">derrame cerebral</a>, sangrado, <a class="fullURL" href="https://www.radiologyinfo.org/es/info/braintumor">tumores</a>, líquidos, <a class="fullURL" href="https://www.radiologyinfo.org/es/info/headinjury">trauma</a>, o lesiones cerebrales e inflamación. Esto puede manifestarse como cambios en el comportamiento, problemas de atención, excitación, confusión y convulsiones. Cuando existe una alta sospecha de sangrado, derrame cerebral, infección o tumor, o si el individuo tiene la presión sanguínea muy alta, el examen inicial podría ser la <a class="fullURL" href="https://www.radiologyinfo.org/es/info/headct">TAC</a> o la <a class="fullURL" href="https://www.radiologyinfo.org/es/info/mri-brain">RMN</a> sin contraste intravenoso (IV). Si el examen sin contraste no muestra la causa, una TAC o una RMN de seguimiento realizada con contraste IV podría ser útil, si se sospechara la presencia de infección o de un tumor. Si se sabe que un individuo tiene una infección, un tumor, sangrado reciente o un derrame cerebral agudo reciente, y su condición está empeorando, podría ser adecuado hacer una TAC o una RMN de la cabeza sin contraste IV o una RMN de la cabeza con o sin contraste. Cuando se conoce el motivo del cambio de estado mental, por ejemplo, una intoxicación, y no se cree que la causa se deba a un trauma, podría ser adecuado hacer una RMN de la cabeza sin o con contraste IV. Para los individuos cuyo estado mental está empeorando, incluso con tratamiento, o que está empeorando sin una causa aparente generalmente es adecuado hacer una RMN o una TAC de la cabeza sin contraste IV y una RMN de la cabeza sin o con contraste IV. Para un individuo con delirio de novo (estado mental alterado) generalmente es adecuado hacer una TAC de la cabeza sin contraste IV. Para un individuo con psicosis de novo (desconexión de la realidad), podría ser adecuado hacer una TAC o una RMN de la cabeza sin contraste IV o una RMN de la cabeza sin y con contraste IV.</span></p> <p class="byline">— Por Susan Anemone y Tasneem Lalani, MD. 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