TMZ: Britney Spears was just wheeled out of her home on a gurney by paramedics!

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.

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