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2,243 Possible Causes for Altered Mental Status, Brudzinski's Sign Positive, Prominent Sulci

  • Meningoencephalitis

    Neurological examination showed positive meningeal presentations-severe neck stiffness, Brudzinski neck sign, Brudzinski symphyseal sign, Kernig’s sign.[aclr.com.es] MRI of the brain showed some effacement of cortical sulci, rendering the vessels prominent, with increased T2-weighted signal diffusely scattered throughout both hemispheres[academic.oup.com] An extensive laboratory workup for the etiology of his altered mental status was unremarkable, except for a mildly elevated white blood cell count in the cerebrospinal fluid[mdedge.com]

  • AIDS-associated Meningoencephalitis

    MRI of the brain showed some effacement of cortical sulci, rendering the vessels prominent, with increased T2-weighted signal diffusely scattered throughout both hemispheres[cid.oxfordjournals.org] Altered mental status is rare and if present should increase suspicion for acute purulent meningitis or encephalitis.[infectiousdiseaseadvisor.com] Focal meningeal and parenchymal enhancement is seen on MRI, and patients typically present with seizure or altered mental status.[hivinsite.ucsf.edu]

  • Primary Amebic Meningoencephalitis

    Despite the absence of specific signs and symptoms indicating N. fowleri infection, the most common symptoms include severe headache, fever, chills, positive Brudzinski sign[doi.org] CT head showed prominent sulci suggestive of cerebral atrophy.[ncbi.nlm.nih.gov] We describe two children, aged four and 14 years, who both presented with seizures and altered mental status after recent fresh water swimming exposures.[ncbi.nlm.nih.gov]

  • Candida Meningitis

    , increases the likelihood of meningitis when found to be positive. 7 However, according to one meta-analysis, the sensitivities of Kernig’s and Brudzinski’s signs were 53%[ahcmedia.com] […] in modelling of lateral ventricles, slight deviation of middle line to the right side and reduction of sulci dimensions ( A: T2 flair).[bmcresnotes.biomedcentral.com] Prognosis Cryptococcal meningitis The most important markers of poor prognosis in HIV-associated cryptococcal meningitis are altered mental status at presentation and high[online.epocrates.com]

  • Meningitis

    The combination of meningeal signs (i.e., positive results of examination for Kernig's sign, Brudzinski's sign, or nuchal rigidity) had diagnostic values that were virtually[dx.doi.org] […] of headache, fever, neck stiffness, and altered mental status.[ncbi.nlm.nih.gov] The most common symptoms of meningitis are fever, headache, neck stiffness and altered mental status.[symptoma.com]

    Missing: Prominent Sulci
  • Subarachnoid Hemorrhage

    This case report describes a 48-year old female who presented with altered mental status, lower extremity weakness, low back pain and a recent history of subjective fevers[ncbi.nlm.nih.gov] 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.[emedicine.medscape.com]

    Missing: Prominent Sulci
  • Viral Meningitis

    brudzinski's sign ) are indicative of meningeal irritation.[medical-dictionary.thefreedictionary.com] In severe cases, people may experience concomitant encephalitis (meningoencephalitis), which is suggested by symptoms such as altered mental status, seizures or focal neurologic[en.wikipedia.org] Some patients also showed cold symptoms, sore throat, altered mental status, and seizures.[ncbi.nlm.nih.gov]

    Missing: Prominent Sulci
  • Bacterial Meningitis

    Kernig’s and Brudzinski’s signs are positive in around 50% of the patients of meningitis. 50% of the patients with meningococcal meningitis may also have purpuric or petechial[symptoma.com] Older patients are less likely to have headache and neck stiffness, and more likely to have altered mental status and focal neurologic deficits 11 , 13 ( Table 3 11 – 13 )[aafp.org] brudzinski's sign ) are indicative of meningeal irritation.[medical-dictionary.thefreedictionary.com]

    Missing: Prominent Sulci
  • Meningeal Carcinomatosis

    The most frequent signs are motor deficits, altered mental status, and cranial nerve involvement.[ncbi.nlm.nih.gov] mental status, or signs of meningeal irritation.[nature.com] The patient’s course was also complicated by balance disturbances and altered mental status.[hematologyandoncology.net]

    Missing: Prominent Sulci
  • Listerial Meningitis

    There was marked neck stiffness with positive Brudzinski's sign. The remainder of the systemic examination was unremarkable.[scielo.br] Ten percent were comatose (Glasgow coma score 8), and an additional 70% had altered mental status (Glasgow score 14).[ahcmedia.com] She was lethargic and preferred the lying position. Neck stiffness and Brudzinski’s sign were also noted.[ijponline.biomedcentral.com]

    Missing: Prominent Sulci