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10 Possible Causes for Agitation, Hyperintensities in the Globus Pallidus (T2-Weighted), Pyramidal Tract Signs

Did you mean: Agitation, Hyperintensities in the Globus Pallidus (T2-Weighted, Pyramidal Tract Signs

  • Binswanger Disease

    The bilateral cerebral white matter and globus pallidus appeared hyperintense on T2-weighted imaging (Figures 5 and 6). 5) Figure 5. CO poisoning(FLAIR image) Figure 6.[] Patients with this disease usually present with apathy, agitation, and bilateral corticospinal or bulbar signs Tags: binswanger', s-disease, subcortical-dementia, white-matter-atrophy[] Atypical antipsychotic drugs, such as risperidone and olanzapine, can be useful in individuals with agitation and disruptive behavior.[]

  • Central Pontine Myelinolysis

    In (CPM), the initial signs include dysarthria and dysphagia (secondary to corticobulbar fiber involvement), and flaccid quadriparesis (from pyramidal tract involvement) which[] […] of Globus Pallidus (broad arrow), suggestive of Extrapontine myelinolysis.[] We present a series of events that led to a misdiagnosis of a patient admitted to the medical emergency center presenting with confusion, psychomotor agitation, and delirium[]

  • Neurodegeneration with Brain Iron Accumulation

    . • Begins in childhood • Profound dystonia, dysarthria, spasticity and pyramidal tract signs • Pigmentary retinopathy, leading to night blindness and visual field constriction[] Even before the globus pallidus hypointensity developed, patients with mutations could be distinguished by the presence of isolated globus pallidus hyperintensity on T2-weighted[] When present, psychiatric features such as emotional lability, agitation, hallucinations, and compulsive behaviors can be particularly challenging for families.[]

  • Creutzfeldt Jakob Disease

    Other neurologic findings may include cerebellar signs, pyramidal tract signs, extrapyramidal signs, corticla visual defects, abnormal extraocular movements, lower motor neuron[] Extrapontine myelinolysis manifests predominantly as areas of bilateral FLAIR /T2-weighted imaging hyperintensity in the globus pallidus, putamen, and thalamus, which are[] The goal of treatment is to provide a safe environment, control aggressive or agitated behavior, and meet the person's needs.[]

  • Beta-Propeller Protein-Associated Neurodegeneration

    . • Ataxia follows, and dysarthria and progressive spastic quadriparesis with pyramidal tract signs develop.[] Key Diagnostic Features: Once the parkinsonian symptoms appear, brain MRI shows hypointensity in the region of substantia nigra (SN) and globus pallidus (GP) on T2-weighted[] Amantadine may be helpful for dyskinesias, but also carries a risk (especially in higher doses) of adverse psychiatric effects such as hallucinations and agitation.[]

  • Wilson Disease

    In Wilson disease, an abnormal striatum depicted on MR images correlated with pseudoparkinsonian signs, an abnormal dentatothalamic tract correlated with cerebellar signs,[] On T1W images, these lesions are normal to hypointense but hyperintense lesions especially in globus pallidus may also be seen [ 2 ].[] Yener Unhelkar, Karen Murrell and Christopher Bryant, 13 Emergency Treatment of Agitation in Delirious and Demented Patients, Big Book of Emergency Department Psychiatry,[]

  • Axonal Neuropathy

    tract signs. 1 Patients become wheelchair bound in the second decade and eventually bedridden with severe polyneuropathy, ataxia and dementia.[] On examination he was agitated with hyperactive bowel sounds. Neurological examination and vital signs were normal.[] […] phosphatase of bone origin Frontal cortical atrophy Pelvic girdle muscle atrophy Cranial nerve compression Pathologic fracture Generalized amyotrophy Pigmentary retinopathy Agitation[]

  • Alopecia - Hypogonadism - Extrapyramidal Syndrome

    tract signs, and marked cognitive decline and neuropsychiatric symptoms.[] The eye-of-the-tiger sign, T2-weighted hypointense signal in the globus pallidus with a central region of hyperintensity, is virtually pathognomonic for PKAN.[] ., renal dysfunction, organic brain syndrome). [ Ref ] Uncommon (0.1% to 1%): Confusional state, depression, hallucination Frequency not reported : Agitation, anxiety, disorientation[]

  • Basal Ganglia Mass Lesion

    Neurologic examination demonstrated a right hemiparesis with hypereflexia, bilateral pyramidal tract signs, right facial nerve palsy, dysarthria, dystonia that was more prominent[] ARTERIAL OCCLUSION • CLINICAL FEATURES : Agitation, obtundation, coma, memory dysfunction and various ocular changes IMAGING FINDINGS: • Acute infarcts : T2 hyperintensity[] T2-weighted images showed small hyperintense areas in the left globus pallidus that were indistinguishable from perivascular space.[]

  • Kufor-Rakeb Syndrome

    tract signs, supranuclear gaze palsy, and severe cognitive decline. 3,5 On the contrary, in our homozygous case the atypical features were limited to an impaired upward gaze[] pallidus, on T2-weighted images.[] […] apathy, anxiety disorders (including panic disorders, generalized anxiety disorder, and social phobia), depression, psychosis (hallucinations), behavioral disturbances (agitation[]

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