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31 Possible Causes for Altered Mental Status, Cerebellar Ataxia, Prominent Sulci

  • Leptomeningeal Metastasis

    A year thereafter, she was admitted again with confusion and ataxia, at which time T2-weighted images revealed an impression of widened cerebellar sulci ( Fig 2A ).[ajnr.org] Patients may present with an altered mental status. Additionally, focal or generalized seizures, as well as meningism, may be reported.[symptoma.com] Metabolic encephalopathy is the common nonmetastatic cause of altered mental status in cancer patients.[aafp.org]

  • Creutzfeldt Jakob Disease

    Common first symptoms are dementia, cerebellar ataxia, visual disturbance, and psychiatric symptoms. Seizure as the first symptom of CJD is a very rare finding.[ncbi.nlm.nih.gov] B, Corresponding FLAIR image shows marked prominence of ventricles and sulci for the patient’s age.[ajnr.org] .— Acute cerebellitis is a clinically defined condition most commonly characterized by acute cerebellar ataxia, associated with nausea, headache, and altered mental status[doi.org]

  • Subacute Sclerosing Panencephalitis

    A 5-year-old boy presented with acute-onset cerebellar ataxia without associated encephalopathy, focal motor deficits, seizures or cognitive decline.[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]

  • Marchiafava Bignami Disease

    There was a progressive development of parkinsonism, cerebellar ataxia, and mental deterioration by the time he was 32.[ncbi.nlm.nih.gov] Findings CT shows mild prominence of the ventricles and sulci consistent with mild generalized cerebral volume loss.[neuroradiologyonthenet.blogspot.com] Marchiafava-Bignami disease, a rare alcohol-related disorder, characterized by altered mental status, seizure, and multifocal central nervous system signs, which results from[ncbi.nlm.nih.gov]

  • Meningoencephalitis

    However, in diffuse meningoencephalitis due to any agent, depression, blindness, progressive paresis, cerebellar or vestibular ataxia, opisthotonos, cranial nerve deficits[merckvetmanual.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]

  • Hypoxia

    Malfunction of these and other parts of the cerebellum result in cerebellar ataxia manifesting during moderate hypoxia ( Peacock 1998, Johnson-2005 ).[anesthesiaweb.org] Grossly, the lesion was marked by preserved gyral crests and involved sulci, resulting in prominent, mushroom-shaped gyri.[emedicine.medscape.com]

  • Alcoholic Amnestic Disorder

    […] signs (ataxia as described above) Mild memory impairment of confusion without another etiology Signs of malnutrition on physical or laboratory exam While this broad definition[emedicine.medscape.com] CT scan in cerebrocortical atrophy, showing ventricular dilation ( A ) and prominent cortical sulci ( B ).[neupsykey.com] : relation to ataxia, Neuropsychology, 2000 , vol. 14 (pg. 341 - 53 ) Wernicke's encephalopathy: ‘Plus ca change, plus c’est la meme chose’, Alcohol Alcohol, 2008 , vol. 43[academic.oup.com]

  • Primary Amebic Meningoencephalitis

    ataxia, nuchal rigidity, photophobia EPIDEMIOLOGY: Affects active, immunocompetent young people of both genders; predominant in the tropics; ubiquitous in warm fresh water[msdsonline.com] 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]

  • West Nile Encephalitis

    West Nile virusinfection presenting as cerebellar ataxia and fever: Case report. South. Med.[ncbi.nlm.nih.gov] 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]

  • Toluene Poisoning

    Report Abuse * Re:toluene toxicity #2407758 forever07 - 06/05/11 14:03 Polyneuropathy,cerebellar ataxia,tremor,optic atrophy Tm..benzo, thalamotomy is the last resort Due[usmleforum.com] C, Sagittal T1-weighted (600/15/1) midline image shows thinning of the corpus callosum, which is more prominent in the body and genu. Note the enlarged cerebellar sulci.[ajnr.org] mental status, confusion, hallucinations, euphoria, depression, ataxia and visual deficits.[symptoma.com]

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