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29 Possible Causes for Altered Mental Status, Pediatric Disorder, 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]

  • Primary Amebic Meningoencephalitis

    CT head showed prominent sulci suggestive of cerebral atrophy.[ncbi.nlm.nih.gov] Infect Disord Drug Targets. 2007 Sep. 7(3):266-80. [Medline]. Park SY, Glaser C, Murray WJ, et al.[emedicine.medscape.com] 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]

  • 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] Immune thrombocytopenia (ITP) is a bleeding disorder whose estimated incidence is 4.2/100.000 person/years in the pediatric age group.[ncbi.nlm.nih.gov] mental status.[ncbi.nlm.nih.gov]

  • 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] International pediatric multiple sclerosis study group criteria for pediatric multiple sclerosis and immune-mediated central nervous system demyelinating disorders: revisions[bmcneurol.biomedcentral.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]

  • Hypoxia

    Grossly, the lesion was marked by preserved gyral crests and involved sulci, resulting in prominent, mushroom-shaped gyri.[emedicine.medscape.com] Our pediatric department focuses on intractable and rare disorders during pediatric period. Our metabolic unit (conducted by Dr.[medphas.kumamoto-u.ac.jp] As just written above, we have various investigations specialized for pediatric disorders.[medphas.kumamoto-u.ac.jp]

  • Postictal State

    Ventricles, sulci and cisterns were mildly prominent for age and there was mild cerebral cortical volume loss.[annals-general-psychiatry.biomedcentral.com] […] in patients with epilepsy The effects of treatments and surgery on behavior Pediatric and adolescent epilepsy Disorders associated with epilepsy that impact behavior And[books.google.com] If a patient remains confused for longer than 20 minutes after a seizure, consider another cause of altered mental status [4].[ems1.com]

  • Citrullinemia

    B, Contrast-enhanced axial CT scan shows prominent cingulate gyri atrophy and ulegyric changes in the frontal lobes.[ajnr.org] Liver transplantation for urea cycle disorders in pediatric patients: a single-center experience.[ncbi.nlm.nih.gov] Laboratory evaluation of urea cycle disorders. J Pediatr. 2001 Jan. 138(1 Suppl):S21-9. [Medline]. Tamamori A, Fujimoto A, Okano Y, et al.[emedicine.medscape.com]

  • Methylmalonic Acidemia

    CT on the same day of admission depicted mild prominence of the cortical sulci and ventricular system.[ajnr.org] Department of Pediatric Metabolic Disorders Tehran University of Medical Sciences Tehran Iran 3.[doi.org] Acute Presentation Lethargy, altered mental status Nausea, vomiting Hepatomegaly Laboratory Findings Hypoglycemia Metabolic acidosis with anion gap Hyperammonemia There are[newenglandconsortium.org]

  • Ondine Syndrome

    The ventricles and sulci were thought to be slightly prominent for the patient's age. MRI findings are shown in Figure 1.[scielo.br] Pediatr. Res., 55 (5), 729–33. Gaultier C, Trang H, Dauger S, Gallego J (2005). Pediatric disorders with autonomic dysfunction: what role for PHOX2B? Pediatr.[inter.knmu.edu.ua] 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]

  • Obstructive Hydrocephalus

    Pre-contrast axial CT Sulci and gyri are very prominent due to cortical atrophy, unlike in obstructive hydrocephalus where there is effacement of sulci and gyri.[stritch.luc.edu] All had mean arterial pressures above 130 mmHg and presented primarily with altered mental status. While half required ventriculostomy, only one required shunting.[ncbi.nlm.nih.gov] The patient developed altered mental status on postoperative day 2. Computed tomography of the brain revealed obstructive hydrocephalus and intraventricular hemorrhage.[ncbi.nlm.nih.gov]