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Britney Wheeled Out on a Gurney!!

Posted Jan 4th 2008 2:29AM (ET) by TMZ Staff

Britney SpearsUPDATE: Britney has arrived at Cedars-Sinai Medical Center. We're told as she was brought out of the ambulance, she flipped off the waiting paparazzi. Oh my god that Britney's shameless.

OMG THE DRAMA! TMZ is there as Britney Spears was just wheeled out of her home on a gurney by paramedics! Why god why?!?

We're told Britney is being taken to a local hospital on a "medical hold" -- essentially a mental evaluation. Cops found her earlier this evening at her home under the influence of an "unknown substance."

Cops were called to the popnightmare's home in Beverly Hills this evening after she reportedly refused to return custody of her two kids back over to their father's bodyguard. Oh the insanity of it all!