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27 Possible Causes for Altered Mental Status, Behçet Disease, Optic Disc Pallor

  • Susac Syndrome

    In the later stages of Susac syndrome, optic disc pallor, vascular sheathing and silver wiring, and constriction of arterioles may be noted on funduscopic examination. 3,4[] , antiphospholipid syndrome, Sjögren syndrome and Behçet disease; see these terms).[] (limbic encephalitis, Cogan syndrome, Eales disease, autoimmune inner-ear disease, polyarteritis nodosa, Wegener granulomatosis, Churg-Strauss syndrome, systemic lupus erythematosus[]

  • Cavernous Sinus Thrombosis

    disc edema or pallor; retinal hemorrhages Anesthesia in the ophthalmic division of the trigeminal nerve (V1) and/or decreased or absent corneal reflex and possibly anesthesia[] This gentleman presented with altered mental status, asymmetrical exophthalmos and multiple cranial nerve palsies.[] disease some types of medication, such as the contraceptive pill , although this is very rare The cavernous sinuses The cavernous sinuses are a series of hollow spaces located[]

  • Multiple Sclerosis

    The evolution of temporal optic disc pallor (arrow) after left optic neuritis.[] CASE REPORT We report on a case of a 45-year-old female multiple sclerosis (MS) patient presenting with acute onset short-term memory loss, altered mental status, inflammatory[] Conditions often confused with MS may be inflammatory (systemic lupus erythematosus, Sjögren's syndrome, vasculitis, sarcoidosis, Behçet's disease), infectious (Lyme disease[]

  • Leptomeningeal Metastasis

    […] of optic disc and optical coherence tomography showed an atrophy of temporal retinal nerve fiber layer Click here to view Discussion LC, also referred to as carcinomatous[] Patients may present with an altered mental status. Additionally, focal or generalized seizures, as well as meningism, may be reported.[] […] as systemic lupus erythematosus and Behçet disease.[]

  • Panuveitis

    The vitreous was clear and the fundus showed no exudates or bleeding, however,there was dilatation of retinal vascular and disc pallor of optic nerve head (Figure 6).[] Findings A 59-year-old man with history of multiple myeloma presented with altered mental status, bilateral eye redness, and blurry vision.[] Behcet's disease. N Engl J Med 1999; 341 : 1284. 2. Ozdal PC, Ortaç S, TaKkintuna I, Firat E. Posterior segment involvement in ocular Behçet's disease.[]

  • Optic Neuritis

    Bilateral optic neuritis occurred in 10. Optic disc pallor was found in 35%, edema in 46%, and 19% had normal fundus.[] She developed altered mental status, left facial paralysis, left paresis, and experienced three episodes of ON.[] Conditions that have been linked with optic neuritis include: Autoimmune diseases, including lupus, sarcoidosis, and Behçet disease Cryptococcosis, a fungal infection Bacterial[]

  • Retrobulbar Neuritis

    Loss of colour vision and optic disc pallor are commonly found in asymptomatic patients with dominant optic atrophy.[] Paramedics bring a 26-year-old man to the ED with acute-onset altered mental status. He has a history of back pain. An open, unlabeled pillbox was found.[] Conditions that have been linked with optic neuritis include: Autoimmune diseases, including lupus, sarcoidosis, and Behçet disease Cryptococcosis, a fungal infection Bacterial[]

  • Optic Nerve Infarction

    Figure 3: Optic disc pallor is usually seen 6-8 weeks after the initial ischemic event.[] On day 15, the patient's symptoms relapsed, and she developed vision loss in the right eye, altered mental status, and complete right orbital apex syndrome.[] , Wegener’s granulomatosis, Behçet disease, Lyme disease, tuberculosis, Whipple disease, etc.).[]

  • Acute Hypertensive Retinopathy

    Triangular patches of atrophy result from the occlusion of a larger-caliber choroidal vessel Chronic hypertensive optic nerve changes Optic disc pallor develops in chronic[] mental status, cerebral infarct, intracranial hemorrhage, or seizure due to hypertensive encephalopathy Acute myocardial ischemia/infarction (chest pain), aortic dissection[] Cat scratch disease 5. Herpes simplex 6. Herpes zoster 7. Sarcoidosis 8. Systemic lupus erythematosus 9. Behçet syndrome 10.[]

  • Papilledema

    Atropic Papilledema  Onset of optic disc pallor (secondary optic atrophy) .  Decrease in disc haemorrhage.  Narrowing of blood vessels and their ensheating.  Optic disc[] In 2 patients with new headache and altered mental status, symptoms and ventriculomegaly were dismissed as long-standing and not reflective of current ICP elevation.[] , pregnancy, and cancer), predisposing medication use (oral contraceptives), or systemic inflammatory or infectious diseases (eg, systemic lupus erythematosus, Behçet disease[]

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