{"title":"Acute Delirium From Urinary Retention in Elderly Women With Alzheimer's Disease: A Case of Female Cystocerebral Syndrome.","authors":"Mang Ouyang, Yao Zeng","doi":"10.1016/j.jen.2025.02.015","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Delirium is a frequent and complex condition among elderly patients in emergency departments, often requiring rapid assessment and intervention. Emergency nurses are integral to identifying reversible causes of delirium, such as urinary retention.</p><p><strong>Case presentation: </strong>Cystocerebral syndrome, a rare but significant condition predominantly observed in males, is characterized by delirium triggered by acute urinary retention and reversible with bladder decompression. This report details the first documented female case: an 80-year-old patient with Alzheimer's disease presenting with hypoactive delirium, marked by reduced speech and mobility. Through comprehensive nursing assessment, bladder distention was identified as the underlying cause. After catheterization, the patient's symptoms resolved within 10 minutes, confirming the diagnosis of cystocerebral syndrome.</p><p><strong>Conclusion: </strong>This case underscores the critical role of emergency nursing in recognizing atypical presentations of delirium in elderly female patients and ensuring timely, targeted interventions to optimize outcomes.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":1.8000,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Emergency Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jen.2025.02.015","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"EMERGENCY MEDICINE","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: Delirium is a frequent and complex condition among elderly patients in emergency departments, often requiring rapid assessment and intervention. Emergency nurses are integral to identifying reversible causes of delirium, such as urinary retention.
Case presentation: Cystocerebral syndrome, a rare but significant condition predominantly observed in males, is characterized by delirium triggered by acute urinary retention and reversible with bladder decompression. This report details the first documented female case: an 80-year-old patient with Alzheimer's disease presenting with hypoactive delirium, marked by reduced speech and mobility. Through comprehensive nursing assessment, bladder distention was identified as the underlying cause. After catheterization, the patient's symptoms resolved within 10 minutes, confirming the diagnosis of cystocerebral syndrome.
Conclusion: This case underscores the critical role of emergency nursing in recognizing atypical presentations of delirium in elderly female patients and ensuring timely, targeted interventions to optimize outcomes.
期刊介绍：
The Journal of Emergency Nursing, the official journal of the Emergency Nurses Association (ENA), is committed to the dissemination of high quality, peer-reviewed manuscripts relevant to all areas of emergency nursing practice across the lifespan. Journal content includes clinical topics, integrative or systematic literature reviews, research, and practice improvement initiatives that provide emergency nurses globally with implications for translation of new knowledge into practice.
The Journal also includes focused sections such as case studies, pharmacology/toxicology, injury prevention, trauma, triage, quality and safety, pediatrics and geriatrics.
The Journal aims to mirror the goal of ENA to promote: community, governance and leadership, knowledge, quality and safety, and advocacy.
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