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53 Possible Causes for Altered Mental Status, Apnea, Lip Smacking

  • Generalized Motor Seizure

    Movements of hands, like wringing, playing with buttons or objects in hands, waving Non-purposeful movements, called automatisms, involve the face, arms or legs, such as lip[epilepsytalk.com] But there is mental illness in my family as well as sleep apnea. I took Dilantin, then Phenytoin, then Tegretol for my seizures.[epilepsy.com] Some conditions can make epilepsy worse, eg: Obstructive Sleep Apnea, strokes, head traumas, alcohol and recreational drug use.[epilepsynyc.com]

  • Epilepsy

    […] and stop gradually rather than abruptly Last longer than 10 seconds Are more likely to cause falling May include automatisms such as blinking, eye fluttering, lip smacking[verywell.com] Co-morbid sleep disorders, including sleep apnea, insomnia, restless legs syndrome, and the parasomnias, occur frequently in people with epilepsy.[ncbi.nlm.nih.gov] […] identified in a 5-year-old boy with developmental delay associated with Rett-like features including stereotypic hand movements and respiratory abnormalities with episode of apnea[ncbi.nlm.nih.gov]

  • Herpes Simplex Encephalitis

    He also had intermittent lip smacking movements, suggesting seizure activity.[karger.com] Other signs, which can occur singly or in combination, include temperature instability, lethargy, hypotonia, respiratory distress, apnea, and seizures.[msdmanuals.com] Patients with HSE typically present with a prodrome of headaches and fever, followed by sudden focal neurological deficits and altered mental status.[amboss.com]

  • Postictal State

    smacking chewing.[lopezdonado.bandcamp.com] Sleep apnea in pregnancy may also cause placental hypoxia.[practicalneurology.com] If a patient remains confused for longer than 20 minutes after a seizure, consider another cause of altered mental status [4].[ems1.com]

  • Status Epilepticus

    (particularly when this is uncommon for the child) Features include altered mental state, confusion, unresponsiveness, abnormal (often subtle) motor movements, twitches, lip-smacking[dontforgetthebubbles.com] Breathing: Hypoxemia may result from respiratory depression/apnea, aspiration, airway obstruction, and neurogenic pulmonary edema [41]. • All children with SE should have[indianpediatrics.net] Early recognition and treatment of seizure may reverse altered mental status in those patients.[ncbi.nlm.nih.gov]

  • Stroke

    Those kinds of episodes can be accompanied by behavior that looks intentional but is not (such as lip smacking, picking at clothes, etc.).[urmc.rochester.edu] Jäkälä, Juha Töyräs, Sami Myllymaa, Esa Mervaala, Katja Myllymaa ERJ Open Research 2017 3: P79; DOI: 10.1183/23120541.sleepandbreathing-2017.P79 Abstract Obstructive sleep apnea[openres.ersjournals.com] The common chameleons were initially diagnosed as altered mental status (AMS) (29, 31%), syncope (15, 16%), hypertensive emergency (12, 13%), systemic infection (10, 11%),[ncbi.nlm.nih.gov]

  • Syncope

    smacking or frothing at the mouth (partial seizure) Tongue biting (especially laterally) Blue face Prior to the event: aura (such as unusual smell)  Post-ictal confusion[lifeinthefastlane.com] […] interrupted breathing or snoring, physicians may recommend an evaluation in a sleep laboratory to determine if there is an underlying and treatable sleep disorder, such as sleep apnea[rarediseasesnetwork.org] mental status until treated, onset seldom abrupt, sweating, piloerection Usually history of diabetes or insulinoma Fingerstick glucose Response to glucose infusion Psychiatric[msdmanuals.com]

  • Meningitis

    […] the lips, chewing involuntarily, gazing in different directions, or periodically going limp (a type of seizure) Sluggishness or listlessness (lethargy) A high-pitched crying[msdmanuals.com] Manifestations are often nonspecific (eg, temperature instability, respiratory distress, jaundice, apnea).[msdmanuals.com] […] of headache, fever, neck stiffness, and altered mental status.[ncbi.nlm.nih.gov]

  • Catatonia

    smacking, inappropriate verbal usage, hand tremors and sweaty palms possibly due to side effects of psychiatric medication and repetitive eye movements.[corticalchauvinism.com] They include (1) the risk of hypoventilation in obese patients or those with obstructive sleep apnea, (2) falls in elderly patients or those with balance problems after they[doi.org] When the patient's altered mental status could not otherwise be explained, benzodiazepine withdrawal-induced catatonia was considered.[ncbi.nlm.nih.gov]

  • Focal Onset Impaired Awareness Seizure

    During the remainder of the attack, lip-smacking and swallowing are not uncommon.[gpnotebook.co.uk] We report a 37 year-old man who had central apnea as the initial manifestation of partial complex seizures associated with oxygen desaturation.[ncbi.nlm.nih.gov] However, sensorium is altered in CPS, which distinguishes them from simple partial seizures, in which mental status is not affected.[ncbi.nlm.nih.gov]

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