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{
    "pk": 31059,
    "title": "A Case Report Of A Rare, But Important, Cause Of Delerium Presenting To An Emergency Department",
    "subtitle": null,
    "abstract": "<p>Introduction: Delayed post-hypoxic leukencephalopathy (DPHL) is a rare cause of acute neuropsychiatric decline diagnosable in Emergency Departments, but it has not been described in the Emergency Medical literature.   We present a case report of a pathognomonic presentation.</p>\n<p>Case Report: A man developed akinetic mutism fourteen days after being discharged from a hospitalization for fentanyl overdose.   His presentation and MRI were pathognomonic for DPHL.  </p>\n<p>Conclusion: DPHL can present to the ED as altered mental status days to weeks after apparent full recovery from an initial episode of cerebral hypoxia.   This report will help Emergency Providers avoid missing this diagnosis.</p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "case report"
        },
        {
            "word": "Delayed post-hypoxic leukencephalopathy"
        },
        {
            "word": "delirium causes"
        },
        {
            "word": "emergency neurology"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/54t636xv",
    "frozenauthors": [
        {
            "first_name": "Daniel",
            "middle_name": "G",
            "last_name": "Miller",
            "name_suffix": "",
            "institution": "University of Iowa Healthcare, Departments of Emergency and Internal Medicine, Iowa City, Iowa",
            "department": ""
        }
    ],
    "date_submitted": "2024-07-19T20:29:26.663000Z",
    "date_accepted": "2024-12-03T22:56:43.761000Z",
    "date_published": "2025-02-26T23:30:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "PDF",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/31059/galley/35731/download/"
        }
    ]
}