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37 Possible Causes for Altered Mental Status, Central Nervous System Disorder, Prominent Sulci

  • Hypertensive Encephalopathy

    Initially a central nervous system inflammatory disorder was thought to be the most likely diagnosis, possibly acute demyelinating encephalomyelitis or cerebral vasculitis[ncbi.nlm.nih.gov] There was complete resolution of cerebral edema in all patients and mild interval prominence of the cerebral sulci, which can indicate cerebral volume loss, in three out of[bloodjournal.org] His altered mental status, however, resolved with control of blood pressure.[ncbi.nlm.nih.gov]

  • Meningoencephalitis

    International pediatric multiple sclerosis study group criteria for pediatric multiple sclerosis and immune-mediated central nervous system demyelinating disorders: revisions[bmcneurol.biomedcentral.com] 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

    Spectrum of central nervous system disorders in hospitalized HIV/AIDS patients (2009–2011) at a major HIV/AIDS referral center in Beijing, China.[elynsgroup.com] 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]

  • Alcoholic Amnestic Disorder

    Korsakoff’s syndrome —A disorder of the central nervous system resulting from long-term thiamin deficiency.[encyclopedia.com] CT scan in cerebrocortical atrophy, showing ventricular dilation ( A ) and prominent cortical sulci ( B ).[neupsykey.com] In some cases the patient may also be examined by a neurologist (a doctor who specializes in disorders of the central nervous system) If there is no evidence of a medical[minddisorders.com]

  • Subacute Sclerosing Panencephalitis

    Subacute sclerosing panencephalitis (SSPE) is a progressive inflammatory disorder of the central nervous system with both poor prognosis and high mortality.[ncbi.nlm.nih.gov] They can range from hyperintensities in the parietal and occipital region, brain stem lesions, and marked atrophy, causing prominence of sulci.[cureus.com] mental status.[ncbi.nlm.nih.gov]

  • Primary Amebic Meningoencephalitis

    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] METHODS AND RESULTS We describe two children, aged four and 14 years, who both presented with seizures and altered mental status after recent fresh water swimming exposures[unboundmedicine.com]

  • Candida Meningitis

    Keywords Central nervous system, fungi, non- albicans candida Introduction Central nervous system (CNS) infection caused by candida is a type of systemic candidiasis. [ 1[nnjournal.net] […] 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]

  • West Nile Encephalitis

    Cytomegalovirus infection of the central nervous system stem cells from mouse embryo: a model for developmental brain disorders induced by cytomegalovirus. Lab.[jvi.asm.org] Arrows indicate subtle enhancement in the sulci. B and C, FLAIR images show increased signal intensity in the sulci, more prominent on the left than on the right.[ajnr.org] We report the case of a 46-year-old woman who presented with fever, altered mental status, and maculopapular rash, who was diagnosed with locally acquired WNV encephalitis[ncbi.nlm.nih.gov]

  • Cryptococcosis

    Magnetic resonance imaging (MRI) brain showed mild prominent cortical sulci with dilation of lateral ventricles suggestive of meningitis sequel.[turkjpath.org] Meningitis and meningoencephalitis Headache Confusion Altered mental status Coma Seizures Neurological signs include diplopia, ataxia and aphasia Pulmonary cryptococcosis[patient.info] mental status.[ajnr.org]

  • Progressive Multifocal Leukoencephalopathy

    nervous system (CNS) affecting disorders.[ncbi.nlm.nih.gov] The image from day 258 shows prominence of cerebellar sulci (red arrow) and increased size of fourth ventricle.[doi.org] Altered mental status is also observed. Visual assessment may be notable for conjugate gaze deficits and other abnormalities.[symptoma.com]