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271 Possible Causes for Altered Mental Status, Hemiparesis, Nystagmus

  • Stroke

    SSEH presenting as a hemiparesis is less common and in such situations, it can be mistaken for a cerebrovascular accident (CVA).[ncbi.nlm.nih.gov] The first patient (female, 50 years old) had dysarthria, nystagmus and trunk ataxia on admission. Her blood alcohol level was 2.3‰.[ncbi.nlm.nih.gov] 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]

  • Cerebral Hemorrhage

    During the course of illness, the patient had an acute cerebral hemorrhage, which manifested with hemiparesis, dysarthria, and pathologic crying.[ncbi.nlm.nih.gov] The symptomatology of the cases with saltatory evolution had subacute onset, in 1-3 days, with hypotonia, nystagmus and posture disorders.[medichub.ro] 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]

  • Cerebral Embolism

    However, the patient then developed fever, dyspnea, and subsequent right hemiparesis.[ncbi.nlm.nih.gov] There was no gaze preference or nystagmus. Corneal reflexes were intact. The right nasolabial fold was flattened, and right eye closure was decreased.[pediatrics.aappublications.org] She had developed sudden complete left hemiparesis due to an embolism at the carotid bifurcation.[ncbi.nlm.nih.gov]

  • Multiple Sclerosis

    A severe and sudden left-sided sensorimotor hemiparesis occurred 1 year later.[doi.org] Upbeat nystagmus was observed in all MS patients with trigeminal REZ lesions.[ncbi.nlm.nih.gov] CASE REPORT We report on a case of a 45-year-old female multiple sclerosis (MS) patient presenting with acute onset short-term memory loss, altered mental status, inflammatory[ncbi.nlm.nih.gov]

  • Brain Abscess

    The patient presented with right-sided homonymous hemianopsia and right hemiparesis. Emergent surgical drainage was performed and antibiotics were administered.[ncbi.nlm.nih.gov] The patient may also have spontaneous nystagmus. Dysdiadokinesis is also positive in these patients.[sites.google.com] 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]

  • Lupus Cerebritis

    The authors describe three young women with systemic lupus erythematosus and hemiparesis who had major cerebral artery stenosis or occlusion documened by angiography.[glosbe.com] […] report a 28-year-old patient with systemic lupus erythematosus who had persistent fever for 3 months, and developed within a few hours motor and sensory aphasia, rotator nystagmus[link.springer.com] mental status.[cureus.com]

  • Listeria Meningitis

    Neurological abnormalities identified were cranial nerve palsies in 2 (6.4%) and hemiparesis in 3 (9.6%). No patients had hearing impairment.[bmcinfectdis.biomedcentral.com] Symptoms such as ataxia, nystagmus, vertigo, facial numbness, dysphagia , persistent hiccuping , and respiratory failure ( 41%) may be present 3 .[radiopaedia.org] Ten percent were comatose (Glasgow coma score 8), and an additional 70% had altered mental status (Glasgow score 14).[ahcmedia.com]

  • Acute Alcohol Intoxication

    When he woke up 8 h later, right-sided hemiparesis and aphasia were observed, and cerebral CT already revealed irreversible ischemic changes.[ncbi.nlm.nih.gov] Debra Posted Tue 28th of October, 2014 16:35:08 PM When patient's present to the Emergency Room intoxicated with altered mental status or ALOC, they may receive services to[supercoder.com] Serum ethanol levels may be ordered in suspected alcohol ingestion as well altered mental status of unknown etiology, coma, psychiatric emergencies, traumatic emergencies,[emedicine.medscape.com]

  • Transient Ischemic Attack

    A 71-year-old female presented to the emergency department with 2 episodes of transient right hemiparesis in 5 hours.[ncbi.nlm.nih.gov] […] is usually peripheral in nature, whereas vertical, pure torsional and/or bidirectional nystagmus, limb ataxia and pinprick sensation asymmetry are usually central Dix Hallpike[emergencymedicinecases.com] 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]

  • Marchiafava Bignami Disease

    […] mimicking conditions were differentiated from MBD by the occurrence of solitary and rapidly disappearing splenial lesions; fewer signs and symptoms with exception of seizures, hemiparesis[ncbi.nlm.nih.gov] 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] Some present with psychiatric disturbances like dementia, others with more or less severe neurologic impairment, like gait disturbances, seizures, hemiparesis or tetraparesis[symptoma.com]

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