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376 Possible Causes for Altered Mental Status, Intracerebral Hematoma

  • Cerebral Hemorrhage

    AIM: Hypertensive cerebral hemorrhage (HCH) is a potentially life-threatening cerebrovascular disease with high mortality.[ncbi.nlm.nih.gov] 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] Abstract A 43-year-old lady, known case of sickle cell disease (SCD) was admitted in sickle cell crises and developed a left frontal intracerebral hematoma.[ncbi.nlm.nih.gov]

  • Stroke

    CT-guided stereotactic aspiration of intracerebral hematoma—result of a hematoma-lysis method using urokinase. Appl Neurophysiol. 1985 ; 48 :427–430.[doi.org] 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]

  • Intracerebral Hematoma

    Three normotensive patients presented with seizures and CT showed an intracerebral hematoma.[ncbi.nlm.nih.gov] Initial symptoms may include a change in mental status, meaning an alteration in the wakefulness of the patient.[medicinenet.com] Abstract Three cases of organized intracerebral hematomas presented slowly progressive neurological deficits and hence mimicked brain tumors.[ncbi.nlm.nih.gov]

  • Disseminated Intravascular Coagulation

    Death commonly results from progression of the underlying disease, and associated complications (acute renal failure, intracerebral hematoma, shock, or cardiac tamponade).[emdocs.net] mental status, stroke Purpura fulminans: DIC with extensive skin necrosis Waterhouse Friderichsen syndrome : adrenal infarcts adrenal insufficiency The clinical features[amboss.com] However, except cerebral hemorrhage, organ dysfunction is rare in these cases.[ncbi.nlm.nih.gov]

  • Hemophilia

    The following presentations have been reported: Massive hemothorax Cerebral hemorrhage Subarachnoid hemorrhage Spinal epidural hematoma with the Brown-Sequard syndrome Hematuria[web.archive.org]

  • Subarachnoid Hemorrhage

    BACKGROUND: Subarachnoid hemorrhage (SAH) with an intracerebral hematoma (ICH) shows an unfavorable prognosis.[ncbi.nlm.nih.gov] This case report describes a 48-year old female who presented with altered mental status, lower extremity weakness, low back pain and a recent history of subjective fevers[ncbi.nlm.nih.gov] hematoma, and history of hypertension.[ncbi.nlm.nih.gov]

  • Acute Myelocytic Leukemia

    If WBC count is extremely high ( 100 x 10 9 /L), it can cause leukostasis with respiratory distress and altered mental status.[patient.info] Patients with markedly elevated WBC counts ( 100,000 cells/µL) can present with symptoms of leukostasis (ie, respiratory distress and altered mental status).[emedicine.medscape.com] Signs relating to leukostasis include respiratory distress and altered mental status. Arber DA, Orazi A, Hasserjian R, Thiele J, Borowitz MJ, Le Beau MM, et al.[emedicine.medscape.com]

  • Wernicke Encephalopathy

    Wernicke’s encephalopathy accompanied by multiple symptomatic cerebral hemorrhages during the recovery phase. European Neurology, 48 (3), 181–182.[doi.org] We present the case of a 5-year-old patient with stage 4, high-risk neuroblastoma who developed altered mental status, ataxia, and tachycardia during consolidative autologous[ncbi.nlm.nih.gov] Wernicke encephalopathy, a triad of ophthalmoplegia, ataxia, and altered mental status, is a serious consequence of thiamine (vitamin B1) deficiency.[ncbi.nlm.nih.gov]

  • Polyarteritis Nodosa

    Intracranial aneurysms (IAs) are extremely rare in PAN and usually manifest as subarachnoid or cerebral hemorrhage.[ncbi.nlm.nih.gov] In a few patients, ischemic stroke and cerebral hemorrhage occur, sometimes resulting from hypertension.[msdmanuals.com]

  • Brain Stem Infarction

    Vertebral artery injury can be a complication of cervical spine injury. Although most cases are asymptomatic, the rare case progresses to severe neurological impairment and fatal outcomes. We experienced a case of bilateral cerebellar and brain stem infarction with fatal outcome resulting from vertebral artery[…][ncbi.nlm.nih.gov]

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