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14 Possible Causes for Altered Mental Status, Patient Appears Acutely Ill, Prominent Sulci

  • Leptomeningeal Metastasis

    The lesions were more prominent in the cerebellar sulci compared with in the cerebral sulci.[ajnr.org] Patients may present with an altered mental status. Additionally, focal or generalized seizures, as well as meningism, may be reported.[symptoma.com] Metabolic encephalopathy is the common nonmetastatic cause of altered mental status in cancer patients.[aafp.org]

  • Hypertensive Encephalopathy

    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] Clinical manifestations include headache; nausea; vomiting; seizures; altered mental status (in some cases progressing to coma); papilledema; and retinal hemorrhage ICD-9-[icd9data.com]

  • Meningoencephalitis

    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] Diagnosis [ edit ] Clinical diagnosis includes evaluation for the presence of recurrent or recent herpes infection, fever, headache, altered mental status, convulsions, disturbance[en.wikipedia.org]

  • Marchiafava Bignami Disease

    Findings CT shows mild prominence of the ventricles and sulci consistent with mild generalized cerebral volume loss.[neuroradiologyonthenet.blogspot.com] 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] Case Report: A 36-year-old man was found with altered mental status on a street.[e-jnc.org]

  • Postictal State

    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] 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]

  • AIDS-associated Meningoencephalitis

    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] Focal meningeal and parenchymal enhancement is seen on MRI, and patients typically present with seizure or altered mental status.[hivinsite.ucsf.edu]

  • 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]

  • Subacute Sclerosing Panencephalitis

    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] A 20-year-old pregnant woman with altered mental status. N Engl J Med 357:589–600 PubMed CrossRef Google Scholar 30.[link.springer.com]

  • West Nile Encephalitis

    Surprisingly, most of these studies have found that patients with milder acute illness appear to be just as likely to describe persistent problems, such as fatigue, memory[academic.oup.com] 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]

  • Candida Meningitis

    […] in modelling of lateral ventricles, slight deviation of middle line to the right side and reduction of sulci dimensions ( A: T2 flair).[bmcresnotes.biomedcentral.com] Prognosis Cryptococcal meningitis The most important markers of poor prognosis in HIV-associated cryptococcal meningitis are altered mental status at presentation and high[online.epocrates.com] mental status. 32 Most patients with aspergillus meningitis present with altered mental status, seizures, or focal neurologic deficits.[ahcmedia.com]