Turkish Journal of Geriatrics 2015 , Vol 18, Issue 1
BISOPROLOL-INDUCED DELIRIUM IN A PATIENT WITH ISCHEMIC STROKE: A CASE REPORT
Hasan Hüseyin KOZAK1, Ali Ulvi UCA1, Faruk UĞUZ2
1Necmettin Erbakan University, Meram Faculty of Medicine, Department of Neurology, KONYA
2Necmettin Erbakan University, Meram Faculty of Medicine, Department of Psychiatry, KONYA
Delirium is a common neuropsychiatric syndrome that involves a number of symptoms including diffuse cognitive impairment, hallucinations, mood lability and disturbances in the sleepwake cycle. Besides, delirium is a common condition associated with adverse outcomes, including increase in morbidity, mortality, and need of health services utilization. Even though the etiology of cognitive impairment is multifactorial, drugs also are known to be an important cause of delirium. In this study, we present a patient manifesting a bisoprolol-induced acute delirium, for whom the delirium symptoms completely disappear after bisoprolol was ceased. Bisoprolol is widely used in cardiology for the treatment of hypertension and arrhythmia. Beta-blocking agents have been recognized for some time to have central nervous system effects, which could adversely cause common psychiatric syndromes. Keywords : Atrial Fibrillation; Bisoprolol; Delirium