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29 Possible Causes for Altered Mental Status, Diplopia, Prominent Sulci

  • Leptomeningeal Metastasis

    For instance, a single patient may present with diplopia and urinary incontinence. Stroke-like episodes have also been described in LM patients.[symptoma.com] The lesions were more prominent in the cerebellar sulci compared with in the cerebral sulci.[ajnr.org] Metabolic encephalopathy is the common nonmetastatic cause of altered mental status in cancer patients.[aafp.org]

  • Hypertensive Encephalopathy

    Other symptoms may include increased irritability, vomiting, diplopia, seizures, twitching and myoclonus of the limbs.[en.wikipedia.org] 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]

  • Creutzfeldt Jakob Disease

    Creutzfeldt-Jakob disease presenting with visual blurring, diplopia and visual loss: Heidenhain's variant. Ann Acad Med Singapore 1998; 27:854 –856 [Google Scholar] 11.[doi.org] 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

    There was no history of redness, lacrimation, diplopia, headache, vomiting, seizures, and motor weakness.[atmph.org] 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]

  • West Nile Encephalitis

    […] status 74% 75% 46% 56% 62% Weakness 48% 41% 56% 47% 48% Central Nervous System Dysfunction Facial palsy 17% 11% — — 13% Dysphagia — 34% — 25% 33% Dysarthria — 17% 8% — 13% Diplopia[clevelandclinicmeded.com] 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]

  • Obstructive Hydrocephalus

    A 46-year-old man developed intermittent headache, diplopia, and visual obscuration for two months. Funduscopic examination showed optic disk swelling in both eyes.[ncbi.nlm.nih.gov] Pre-contrast axial CT Sulci and gyri are very prominent due to cortical atrophy, unlike in obstructive hydrocephalus where there is effacement of sulci and gyri.[stritch.luc.edu] The patient developed altered mental status on postoperative day 2. Computed tomography of the brain revealed obstructive hydrocephalus and intraventricular hemorrhage.[ncbi.nlm.nih.gov]

  • Meningoencephalitis

    To describe unusual cause of diplopia in early puerperal period. Case report.[ncbi.nlm.nih.gov] 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]

  • Marchiafava Bignami Disease

    The neurologic examination often reveals further abnormalities: dysarthria, mutism, nystagmus, gaze palsy, diplopia, peripheral sensory loss, deep tendon reflex loss or Babinski[symptoma.com] 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]

  • Postictal State

    Give with meals; monitor for side effects—diplopia, blurred vision, ataxia, vomiting,leukopenia. Klonopin (clonazepam). a.[brilliantnurse.com] Ventricles, sulci and cisterns were mildly prominent for age and there was mild cerebral cortical volume loss.[annals-general-psychiatry.biomedcentral.com] If a patient remains confused for longer than 20 minutes after a seizure, consider another cause of altered mental status [4].[ems1.com]

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