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After Britney Spears defied court-mandated visitation hours Thursday night by refusing to turn over her two sons to ex-husband Kevin Federline, police were summoned to the singer’s home – and later, a reportedly intoxicated Britney was taken via ambulance to L.A.’s Cedars-Sinai Medical Center.

As of 3:45 a.m PST Friday, Britney Spears remains hospitalized.

A hospital source says Britney Spears is designated a “special needs” patient, meaning “they have either overdosed or tried to commit suicide.”

Hospital staff stays with these patients and monitors them constantly, to ensure they don’t hurt themselves, and to make sure people who come visit them don’t pass anything to them. They’re watching you, Sam Lutfi.

Speaking of Sam Lutfi, he apparently rushed to the hospital early this morning, as did Britney’s father, Jamie Spears. No sign of Adnan Gahlib.

Britney Spears was wheeled out of her home on a gurney… but was still coherent enough to give the finger to the celebrity news media, according to TMZ.

The star was due to turn over Sean Preston and Jayden James Thursday at 7 p.m. Federline’s bodyguard was supposed to pick them up, but Spears was defiant. She had been with the two little kids at her Beverly Hills home since noon Thursday, after her brief court deposition in her ongoing custody dispute.

About 90 minutes after refusing to give up the kids, police arrived.

“There have been police sent to that residence,” an LAPD officer said. “We don’t know any more at this time, but apparently they’ve arrived.”

TMZ reports that while cops were at the troubled pop star’s home, they discovered Spears under the influence of an unknown substance.

Several ambulances were called to the scene, and a complete clusterf*%k ensued. Stay tuned for more details as the story develops.