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35 Possible Causes for Altered Mental Status, Dysarthria, Paranoid State

  • Acute Intermittent Porphyria

    Symptoms started early in childhood and included severe ataxia, dysarthria, severe psychomotor delay, and central and peripheral neurologic manifestations.[ncbi.nlm.nih.gov] Patients can also present with Reynold pentad, which is Charcot triad with shock and altered mental status 1,3,4.[radiopaedia.org] Physical examination may show high temperature, tachycardia, hypotension, jaundice, right upper quadrant or epigastric tenderness and altered mental status.[ncbi.nlm.nih.gov]

  • Acute Hepatic Porphyria

    Summary Epidemiology In the majority of European countries, the prevalence of acute hepatic porphyrias is around 1/75,000. In 80% of cases the patients are female, with the majority aged between 20 to 45 years. Clinical description All acute hepatic porphyrias can be accompanied by neuro-visceral attacks that[…][orpha.net]

  • Wilson Disease

    Clinical manifestations of neurologic Wilson's disease include variable combinations of dysarthria, dystonia, tremor, and choreoathetosis.[ncbi.nlm.nih.gov] mental status" under medical history for "confusion" [ 17 ].[bmcpulmmed.biomedcentral.com] Initially, the patient presented with akathisia, sialorrhea, oromandibular dystonia (occasionally grimacing) and slight dysarthria.[ncbi.nlm.nih.gov]

  • Rabies

    In September 2015, a Wyoming woman was admitted to a local hospital with a 5-day history of progressive weakness, ataxia, dysarthria, and dysphagia.[ncbi.nlm.nih.gov] He was subsequently admitted to another hospital with altered mental status requiring intubation.[dx.doi.org] Five months after exposure, she still had dysarthria, weakness in the left hand and foot, bilateral extensor plantar response, generalized choreoathetosis, intermittent dystonia[content.nejm.org]

  • Cannabis Abuse

    Amnesia, balance disorder, disturbance in attention, dysarthria, dysgeusia, lethargy, memory impairment somnolence. Blurred vision. Vertigo.[patient.info] There may also be panic reactions, hallucinations, paranoid states with fixed delusions and even acute psychosis.[ncbi.nlm.nih.gov] A mental status examination (MSE) should be carried out, as cannabis use alters mentation. There are specific aspects of mental function that are typically affected.[symptoma.com]

  • Meningoencephalitis

    Upon transfer to the rehabilitation unit, the patient had left-sided weakness, dysarthria, and dysphagia.[pediatrics.aappublications.org] The mental state examination revealed a vigil and fully oriented patient. She appeared distrustful, collaborated poorly and was easily distracted.[cpementalhealth.biomedcentral.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]

  • Overdose

    Accompanying neurological and physiological symptoms are dose-related and include hypertension, nystagmus, ataxia, dysarthria, grimacing, profuse sweating, hyperreflexia,[who.int] A 62-year-old man with a medical history of AF was admitted to our emergency department for altered mental status.[ncbi.nlm.nih.gov] CASE REPORT A 24-year-old male was transferred to our medical intensive care unit with hypotension and altered mental status after an overdose of fluoxetine, cyproheptadine[ncbi.nlm.nih.gov]

  • Catatonia

    Patients with NMS or malignant catatonia can have signs of catatonia as well as dysarthria, diaphoresis, sialorrhea, incontinence, myoclonus, tremors or tachypnea 50 along[doi.org] […] schizophrenia Persistent vegetative state Resignation syndrome Tonic immobility References [ edit ] "Archived copy (Internet Archive)".[en.wikipedia.org] When the patient's altered mental status could not otherwise be explained, benzodiazepine withdrawal-induced catatonia was considered.[ncbi.nlm.nih.gov]

  • Juvenile Paralysis Agitans of Hunt

    List of possible causes of Dysarthria or similar symptoms may include: 8 Acanthocytosis (Dysarthria) Aceruloplasminemia (Dysarthria) Achondroplasia (Dysarthria) Adrenomyeloneuropathy[familydiagnosis.com] state Paranoia Paranoia querulans Paranoid psychosis Paranoid state Paraphrenia (late) Sensitiver Beziehungswahn Excludes 1: mood [affective] disorders with psychotic symptoms[app.drchrono.com] mental status (R41.82) cerebral degeneration (G31.9) change in mental status (R41.82) cognitive deficits following (sequelae of) cerebral hemorrhage or infarction (I69.01[en.wikisource.org]

  • Anti-NMDA Receptor Encephalitis

    […] episode: psychiatric syndrome (delusional thinking, personality change), auditory hallucinations, STMD, dysphagia, horizontal nystagmus, vertical gaze paresis, MV 2nd episode: dysarthria[ncbi.nlm.nih.gov] In the unresponsive state, affected individuals have their eyes open but are unresponsive to visual threats.[dx.doi.org] The CEP case definition is as follows: immunocompetent, 6 months of age, and under hospitalization for encephalopathy (altered mental status) with at least 1 clinical or diagnostic[doi.org]

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