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44 Possible Causes for Altered Mental Status, Fever, Prominent Sulci

  • 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] Over-the-counter (OTC) medicines, like acetaminophen, can help with fever and headaches.[kidshealth.org] Altered mental status is rare and if present should increase suspicion for acute purulent meningitis or encephalitis.[infectiousdiseaseadvisor.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] fever group.[cdc.gov] 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]

  • Primary Amebic Meningoencephalitis

    CT head showed prominent sulci suggestive of cerebral atrophy.[ncbi.nlm.nih.gov] Am Fam Physician. 2016 Apr 15;93(8):644. to the editor : When seeing patients with headache and fever, particularly in warmer months, physicians in the United States should[aafp.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]

  • West Nile Encephalitis

    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] How can I help prevent West Nile fever in my child? No vaccine is available to prevent West Nile fever.[urmc.rochester.edu] 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]

  • 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] Despite this she developed recurrent episodes of fever that required multiple courses of antibiotics. After discharging her, she continued to have fever.[ncbi.nlm.nih.gov] 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]

  • Postictal State

    Ventricles, sulci and cisterns were mildly prominent for age and there was mild cerebral cortical volume loss.[annals-general-psychiatry.biomedcentral.com] Signs and Symptoms This infant experienced sudden-onset fever and quiet shaking, followed by reduced responsiveness. How would you diagnose this patient?[thedoctorschannel.com] If a patient remains confused for longer than 20 minutes after a seizure, consider another cause of altered mental status [4].[ems1.com]

  • Leptomeningeal Metastasis

    The lesions were more prominent in the cerebellar sulci compared with in the cerebral sulci.[ajnr.org] Treatment toxicities included low-grade fever and minimal headache. The duration of treatment response from IO topotecan was 18 weeks.[ncbi.nlm.nih.gov] Patients may present with an altered mental status. Additionally, focal or generalized seizures, as well as meningism, may be reported.[symptoma.com]

  • 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] Death is usually the result of fever, heart failure, or the brain's inability to continue controlling the autonomic nervous system.[ninds.nih.gov] mental status.[ncbi.nlm.nih.gov]

  • 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] Patients commonly present with headache, visual symptoms and systemic features of fever, malaise, weight loss etc. 1 Commonly observed signs are hypertension, asymmetric pulses[keralamedicaljournal.com] His altered mental status, however, resolved with control of blood pressure.[ncbi.nlm.nih.gov]

  • Cryptococcosis

    Magnetic resonance imaging (MRI) brain showed mild prominent cortical sulci with dilation of lateral ventricles suggestive of meningitis sequel.[turkjpath.org] We present a case of pancytopenia and cutaneous cryptococcosis in a young girl with no complaints of fever, headache and vomiting.[ncbi.nlm.nih.gov] Meningitis and meningoencephalitis Headache Confusion Altered mental status Coma Seizures Neurological signs include diplopia, ataxia and aphasia Pulmonary cryptococcosis[patient.info]

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