Confabulosis Acute

Acute confabulosis - (c. acuta; lat. confabulare to speak continuously, and ... -lez) a sudden, acute, one-time psychosis with acute disorientation, a deep affect of fear or anxiety, accompanied by individual frightening or plausible delusional ideas. Diagnostic criterion of G. Klinger-Grule-Dannen: there are oddities that are actually delusions. Delirium is interpreted uncritically. He can't be fixed. Kandinsky syndrome: the patient’s external charm turns out to be contradictory. Treatment with mandatory use of antipsychotics has a noticeable effect. More effective is the use of haloperidol in sub-narcotic dosages (in combination with sedative therapeutic agents). Treatment begins with the administration of tranquilizers (seduxen). To relieve acute manic states, antipsychotics (teralen) are used; for prolonged attacks, the antipsychotics haloperidol with diazepam are used.

In acute transistor psychosis, the following treatment option can also be used: phenazepam IM 0.005 g 2% solution 2 ml, 0.5% diazepine solution 0.75 ml IM daily in the evening, in the morning etaprazine 0.015 mg/kg or 6–8 mg orally until a lasting effect is obtained, which is assessed by dynamics and condition. Short-acting insulin is administered subcutaneously (40 units per 7 ml of 0.9% sodium chloride solution) once a day. Sometimes, in emergency cases, single injections of tofisopam intramuscularly help.

In conclusion, it should be noted that only careful observation of all patients with psychosis and their classification into syndromes contribute to the identification of specific syndromes, which make it possible to determine the neurological, endocrine and somatic disorders typical of a given psychotic state. All this contributes to the appointment of adequate therapy. A supporting role is played by diagnostic testing and clinical methods for determining the functional state of many organs and systems of the body.