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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.[] The lesions were more prominent in the cerebellar sulci compared with in the cerebral sulci.[] Metabolic encephalopathy is the common nonmetastatic cause of altered mental status in cancer patients.[]

  • Hypertensive Encephalopathy

    Other symptoms may include increased irritability, vomiting, diplopia, seizures, twitching and myoclonus of the limbs.[] 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[] His altered mental status, however, resolved with control of blood pressure.[]

  • 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.[] B, Corresponding FLAIR image shows marked prominence of ventricles and sulci for the patient’s age.[] .— Acute cerebellitis is a clinically defined condition most commonly characterized by acute cerebellar ataxia, associated with nausea, headache, and altered mental status[]

  • Subacute Sclerosing Panencephalitis

    There was no history of redness, lacrimation, diplopia, headache, vomiting, seizures, and motor weakness.[] They can range from hyperintensities in the parietal and occipital region, brain stem lesions, and marked atrophy, causing prominence of sulci.[] mental status.[]

  • Primary Amebic Meningoencephalitis

    CT head showed prominent sulci suggestive of cerebral atrophy.[] We describe two children, aged four and 14 years, who both presented with seizures and altered mental status after recent fresh water swimming exposures.[] 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[]

  • 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[] 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.[] 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[]

  • 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.[] 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.[] The patient developed altered mental status on postoperative day 2. Computed tomography of the brain revealed obstructive hydrocephalus and intraventricular hemorrhage.[]

  • Meningoencephalitis

    To describe unusual cause of diplopia in early puerperal period. Case report.[] MRI of the brain showed some effacement of cortical sulci, rendering the vessels prominent, with increased T2-weighted signal diffusely scattered throughout both hemispheres[] 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[]

  • 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[] Findings CT shows mild prominence of the ventricles and sulci consistent with mild generalized cerebral volume loss.[] Marchiafava-Bignami disease, a rare alcohol-related disorder, characterized by altered mental status, seizure, and multifocal central nervous system signs, which results from[]

  • Postictal State

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

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