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35 Possible Causes for Altered Mental Status, Cerebrospinal Fluid Abnormality, Prominent Sulci

  • Leptomeningeal Metastasis

    The lesions were more prominent in the cerebellar sulci compared with in the cerebral sulci.[ajnr.org] Cerebrospinal fluid (CSF) was abnormal in all cases analyzed (five of six) but CSF cytology was definitive in only 3.[n.neurology.org] Patients may present with an altered mental status. Additionally, focal or generalized seizures, as well as meningism, may be reported.[symptoma.com]

  • Hypertensive Encephalopathy

    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] Both computerized tomography of the head and cerebrospinal fluid examination were normal.[ncbi.nlm.nih.gov] His altered mental status, however, resolved with control of blood pressure.[ncbi.nlm.nih.gov]

  • Subacute Sclerosing Panencephalitis

    They can range from hyperintensities in the parietal and occipital region, brain stem lesions, and marked atrophy, causing prominence of sulci.[cureus.com] […] antibodies in the cerebrospinal fluid.[ncbi.nlm.nih.gov] mental status.[ncbi.nlm.nih.gov]

  • Primary Amebic Meningoencephalitis

    CT head showed prominent sulci suggestive of cerebral atrophy.[ncbi.nlm.nih.gov] Cerebrospinal fluid (CSF) cell count and chemistries were markedly abnormal, with a white blood cell count of 8150 cells/mm 3 (90% neutrophils), red blood cell count of 800[doi.org] 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

    […] 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] mental status. 32 Most patients with aspergillus meningitis present with altered mental status, seizures, or focal neurologic deficits.[ahcmedia.com]

  • 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[academic.oup.com] It is concluded that the analysis of cerebrospinal fluid is a useful ancillary aid in the investigation of abnormal mental states in neonatal calves and a sensitive test for[veterinaryrecord.bmj.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]

  • Amyotrophic Lateral Sclerosis

    […] periventricular topographic distribution, whereas McKee et al 8 noted that the initial pathological changes were perivascular and at the base of the sulci and in the later[doi.org] Cerebrospinal fluid (CSF) testing revealed no abnormalities except for an elevated neopterin concentration at 143.17 pmol/mL (normal 30 pmol/mL).[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]

  • Marchiafava Bignami Disease

    Findings CT shows mild prominence of the ventricles and sulci consistent with mild generalized cerebral volume loss.[neuroradiologyonthenet.blogspot.com] Cerebrospinal fluid studies revealed no abnormalities. There are low serum levels of vitamin B12, folic acid, and albumin seen.[ncbi.nlm.nih.gov] 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]

  • Postictal State

    Ventricles, sulci and cisterns were mildly prominent for age and there was mild cerebral cortical volume loss.[annals-general-psychiatry.biomedcentral.com] Elevation of the level of blood ammonia or cerebrospinal fluid glutamine (a reflection of elevated amounts of blood ammonia), are usually present to confirm the diagnosis.[dartmouth.edu] If a patient remains confused for longer than 20 minutes after a seizure, consider another cause of altered mental status [4].[ems1.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] Lumbar puncture (LP) See separate articles Lumbar Puncture and Cerebrospinal Fluid for normal values and interpretation of abnormal CSF findings.[patient.info] Altered mental status is rare and if present should increase suspicion for acute purulent meningitis or encephalitis.[infectiousdiseaseadvisor.com]