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12 Possible Causes for Altered Mental Status, Focal Polymorphic Delta Slowing

  • Stroke

    In some cases, focal slow activity may presents as focal and irregular slow activity in the delta frequency, receiving the designation of polymorphic delta activity (PDA)[scielo.br] The common chameleons were initially diagnosed as altered mental status (AMS) (29, 31%), syncope (15, 16%), hypertensive emergency (12, 13%), systemic infection (10, 11%),[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]

  • Transient Ischemic Attack

    These include, but are not limited to: Laboratory tests should focus on ruling out metabolic conditions that may mimic TIA (e.g. hypoglycemia causing altered mental status[en.wikipedia.org]

  • Cerebral Hemorrhage

    The woman's altered mental status fully abated, and she was discharged with minimal neurologic deficits. The newborn was born healthy.[ncbi.nlm.nih.gov] mental status, seizures or coma.[emsworld.com] mental status or seizure activity.[emsworld.com]

  • Brain Neoplasm

    mental status Ataxia Nausea Vomiting Weakness Gait disturbance Central nervous system (CNS) neoplasms also may manifest as follows: Focal seizures Fixed visual changes Speech[emedicine.medscape.com] Manifestations may be nonspecific and include the following: Headache Altered mental status Ataxia Nausea Vomiting Weakness Gait disturbance CNS neoplasms also may manifest[emedicine.medscape.com] […] compression of essential gray or white matter Shifting of intracranial contents Secondary cerebral ischemia Symptoms may be nonspecific and include any of the following: Headache Altered[emedicine.medscape.com]

  • Postictal State

    If a patient remains confused for longer than 20 minutes after a seizure, consider another cause of altered mental status [4].[ems1.com] Lumbar puncture LP should be considered for any patient with status epilepticus, severe headache, fever, persistent altered mental status, or immunocompromised state (especially[cdemcurriculum.com] Afterward, there is often a postictal phase, during which patients have an altered mental status before returning to a full alertness.[ems1.com]

  • Brain Abscess

    CASE REPORT A 67-year old gentleman with history of scalp angiosarcoma with wide excision two years prior presented to the hospital for left arm clumsiness, altered mental[ncbi.nlm.nih.gov] mental status), and blood cultures.[emdocs.net] Altered mental status with focal neurologic impairments occurs in 65% of cases while fever occurs in approximately 50% of cases.[symptoma.com]

  • Malignant Glioma

    They may also manifest psychiatric symptoms like mood swings, an altered mental status, and personality changes.[symptoma.com] Common presenting symptoms include headache, seizures, and altered mental status.[ncbi.nlm.nih.gov] Psychiatric symptoms associated with aggressive brain tumors comprise of mood swings, an altered mental status,and personality changes.[symptoma.com]

  • Traumatic Brain Injury

    Pediatric head injuries are common and may present with varying degrees of altered mental status in children.[ncbi.nlm.nih.gov] Concussion is defined as transient and reversible posttraumatic alteration in mental status (eg, loss of consciousness or memory) lasting from seconds to minutes and, by arbitrary[doi.org]

  • Migraine

    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]

  • Febrile Infection-Related Epilepsy Syndrome

    The interictal record showed diffuse slowing consisting of high amplitude polymorphic delta waves in all the children.[annalsofian.org] Because of persistent altered mental status, he was transferred to our PICU.[pediatrics.aappublications.org] […] epilepticus with persisting altered mental status [ 8, 37 ].[mdpi.com]

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