Hall RJ, Shenkin SD, Maclullich AMJ. A systematic literature review of cerebrospinal fluid biomarkers in delirium.
Dement Geriatr Cogn Disord 2012;
32:79-93. [PMID:
21876357 DOI:
10.1159/000330757]
[Citation(s) in RCA: 43] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 07/13/2011] [Indexed: 01/30/2023] Open
Abstract
BACKGROUND
Cerebrospinal fluid (CSF) analysis has great potential to advance understanding of delirium pathophysiology.
METHODS
A systematic literature review of CSF studies of DSM or ICD delirium was performed.
RESULTS
In 8 studies of 235 patients, delirium was associated with: elevated serotonin metabolites, interleukin-8, cortisol, lactate and protein, and reduced somatostatin, β-endorphin and neuron-specific enolase. Elevated acetylcholinesterase predicted poor outcome after delirium and higher dopamine metabolites were associated with psychotic features.
CONCLUSIONS
No clear conclusions emerged, but the current literature suggests multiple areas for further investigation with more detailed studies.
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