Create issue ticket

26 Possible Causes for Altered Mental Status, Hemiplegia, Prominent Sulci

  • Hypertensive Encephalopathy

    […] in other varieties of chronic interstitial nephritis, there may occur acute episodes of cerebral phenomena, such as epileptiform convulsions, coma, headache, amaurosis, hemiplegia[doi.org] 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] His altered mental status, however, resolved with control of blood pressure.[ncbi.nlm.nih.gov]

  • AIDS-associated Meningoencephalitis

    The major complication was hemiplegia [24].[ajns.paans.org] 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] Altered mental status is rare and if present should increase suspicion for acute purulent meningitis or encephalitis.[infectiousdiseaseadvisor.com]

  • Creutzfeldt Jakob Disease

    Semantic Scholar extracted view of "Language development in a group of children with spastic hemiplegia." by S Kastein et al. ...[scholarlibs.org] B, Corresponding FLAIR image shows marked prominence of ventricles and sulci for the patient’s age.[ajnr.org] .— Acute cerebellitis is a clinically defined condition most commonly characterized by acute cerebellar ataxia, associated with nausea, headache, and altered mental status[doi.org]

  • Primary Amebic Meningoencephalitis

    CT head showed prominent sulci suggestive of cerebral atrophy.[ncbi.nlm.nih.gov] 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] 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[unboundmedicine.com]

  • 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] 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] Patients usually have a fever, headache, and altered mental status.[symptoma.com]

  • Brain Stem Herniation

    ., Kernohan’s notch ), resulting in quadriplegia (contralateral hemiplegia from the initial lesion, ipsilateral hemiplegia from Kernohan’s notch phenomena).[casemed.case.edu] The fluid space between the cortex and the calvarium appears to be increased and the sulci/gyri may appear prominent. View prominent sulci/gyri.[hawaii.edu] Most often the ipsilateral cerebral peduncle is compressed, resulting in contralateral hemiparesis or hemiplegia.[kobiljak.msu.edu]

  • Progressive Multifocal Leukoencephalopathy

    A 32-year-old woman with a 5-year history of systemic lupus erythematosus developed right hemiplegia and motor aphasia.[ncbi.nlm.nih.gov] The image from day 258 shows prominence of cerebellar sulci (red arrow) and increased size of fourth ventricle.[doi.org] Altered mental status is also observed. Visual assessment may be notable for conjugate gaze deficits and other abnormalities.[symptoma.com]

  • Meningoencephalitis

    She experienced a subacute and relapsing course with decreased vision, fever, headache, ataxia, hemiplegia, and disturbance of consciousness.[ncbi.nlm.nih.gov] 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] 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]

  • Hemimegalencephaly

    Hemiplegia was progressive during early childhood.[ncbi.nlm.nih.gov] At first impression it appears to be left Hemiatrophy due to prominence of left hemispheric cortical sulci. But..[neuroradiologycases.com] Any combination of altered mental status, seizures, enlarged head, and /or altered skin pigmentation should prompt consideration of HME.[metrohealth.net]

  • Amyotrophic Lateral Sclerosis

    Mills' syndrome: ascending (or descending) progressive hemiplegia: a hemiplegic form of primary lateral sclerosis? J. Neurol. Neurosurg.[doi.org] […] periventricular topographic distribution, whereas McKee et al 8 noted that the initial pathological changes were perivascular and at the base of the sulci and in the later[doi.org] 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]

Similar symptoms