Hallucinations: Difference between revisions
| Line 9: | Line 9: | ||
*[[Alcohol Withdrawal]] - hallucinosis without altered sensorium, predominately auditory & usually begins 24-48 hours after last drink | *[[Alcohol Withdrawal]] - hallucinosis without altered sensorium, predominately auditory & usually begins 24-48 hours after last drink | ||
*[[Anticholinergic Toxicity]] | *[[Anticholinergic Toxicity]] | ||
*[[GHB]] | *[[GHB|GHB Intoxication]] | ||
*[[Mushroom Poisoning]] | *[[Mushroom Poisoning]] | ||
*[[Bath Salts]] | *[[Bath Salts]] | ||
Revision as of 17:35, 28 March 2014
Background
- The perception of auditory, visual, tactile, or gustatory sensations that are not present
- Etiology may be from underlying psychiatric disorder or organic cause.
- In non-auditory hallucinations, assume organic pathology unit proven otherwise.
Clinical Features
Differential Diagnosis
Organic Causes
- Alcohol Withdrawal - hallucinosis without altered sensorium, predominately auditory & usually begins 24-48 hours after last drink
- Anticholinergic Toxicity
- GHB Intoxication
- Mushroom Poisoning
- Bath Salts
- Tricyclic (TCA) Toxicity
- Methanol Toxicity
- Salvia Intoxication
- Ertapenem Toxicity
- Encephalitis
Psychiatric Causes
- Schizophrenia
- Dementia
- Parkinson's Disease
Workup
Workup should be targeted toward specific diagnosis. Cranial imaging is only useful if localized neurological findings or headache red flags
- If concerned for suicidal or unknown toxic ingestion:
- Aspirin
- Tylenol level
- ECG
Management
- Treat the underlying pathology.
- In the case of Alcohol Withdrawl Hallucinosis, no standard therapy has been established,[1] although tx with neuroleptics (e.g. Haldol) has shown some benefit. [2] Also continue to treat the alcohol withdrawal.