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15 Possible Causes for Altered Mental Status, Myoclonic Jerking, Prominent Sulci

  • Subacute Sclerosing Panencephalitis

    Typical initial symptoms consist of intellectual decline, deterioration in school performance, and myoclonic jerks.[ncbi.nlm.nih.gov] They can range from hyperintensities in the parietal and occipital region, brain stem lesions, and marked atrophy, causing prominence of sulci.[cureus.com] mental status.[ncbi.nlm.nih.gov]

  • Creutzfeldt Jakob Disease

    During the patient's hospital course, his clinical condition deteriorated with myoclonic jerks, fevers and severe encephalopathy.[ncbi.nlm.nih.gov] 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]

  • West Nile Encephalitis

    In addition to multifocal myoclonic jerks in the extremities, his eye movements were disrupted by bursts of high-frequency, conjugate ocular oscillations that occurred in[ncbi.nlm.nih.gov] 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]

  • Postictal State

    Thus, myoclonic jerks occurring in the context of typical absence seizures do not worsen the prognosis. [4] Other distinct absence syndromes with a prominent myoclonic component[neurologyindia.com] Ventricles, sulci and cisterns were mildly prominent for age and there was mild cerebral cortical volume loss.[annals-general-psychiatry.biomedcentral.com] If a patient remains confused for longer than 20 minutes after a seizure, consider another cause of altered mental status [4].[ems1.com]

  • Hypertensive Encephalopathy

    jerks, progressing to global dementia. hepatic encephalopathy a condition, usually occurring secondary to advanced liver disease, marked by disturbances of consciousness[medical-dictionary.thefreedictionary.com] 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]

  • Hypoxia

    Seizures, myoclonic jerks (muscle spasms or twitches), and neck stiffness may occur.[neuroskills.com] Grossly, the lesion was marked by preserved gyral crests and involved sulci, resulting in prominent, mushroom-shaped gyri.[emedicine.medscape.com]

  • Amyotrophic Lateral Sclerosis

    […] 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] […] τ-immunoreactive astrocytes as a hallmark feature, but this was not observed in the cases examined by Omalu et al. 35 Omalu et al 35 reported a lobar cortical distribution but not a prominent[doi.org]

  • Hemimegalencephaly

    On follow-up visit at 3 months, his myoclonic jerks had decreased in frequency.[neurologyindia.com] 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]

  • Neurosyphilis

    On the second day of therapy, she developed myoclonic jerking, consistent with penicillin neurotoxicity. Repeat labs also showed new onset renal failure.[ncbi.nlm.nih.gov] Holland et al reported the CT scan findings in 3 patients with meningovascular syphilis. [2] Less prominence of the cortical sulci in our first case suggested cortical atrophy[ijdvl.com] A fall from a great height is often associated with altered mental status.[ncbi.nlm.nih.gov]

  • AIDS Dementia Complex

    jerks.[ncbi.nlm.nih.gov] Atrophy was defined as inappropriately prominent ventricles and cortical sulci for the patients' age. Atrophy was also graded as mild, moderate, or severe.[ajnr.org] Nursing care parameters are identified ... mutual planning among persons with AIDS dementia complex , their significant others and nurses ... alterations in mental status[aidshivresearch.com]