Recurrent clonazepam withdrawal delirium in a postoperative neurosurgical patient: a case report.
BMJ Case Rep
; 14(6)2021 Jun 23.
Article
en En
| MEDLINE
| ID: mdl-34162601
ABSTRACT
We present a case of benzodiazepine withdrawal delirium in a middle-aged man undergoing spinal surgery. Benzodiazepines were stopped prior to surgery and on postoperative day 4, the patient exhibited significant paranoia, hyperarousal and ideas of reference. Patient's symptoms resolved after reintroduction of his benzodiazepines. It is important to include benzodiazepine withdrawal in the differential diagnosis for acute delirium even in those patients taking low or moderate doses. Benzodiazepine withdrawal delirium typically responds rapidly to restarting benzodiazepines. In patients with known discontinuation issues, early consultation with consult-liaison psychiatry and preoperative planning for early medication re-initiation is paramount.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Asunto principal:
Síndrome de Abstinencia a Sustancias
/
Delirio
Tipo de estudio:
Diagnostic_studies
Límite:
Humans
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Male
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Middle aged
Idioma:
En
Revista:
BMJ Case Rep
Año:
2021
Tipo del documento:
Article
País de afiliación:
Estados Unidos