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2,237 Possible Causes for Altered Mental Status, Periodic Lateralized Epileptiform Discharges, Prominent Sulci

  • 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]

  • Creutzfeldt Jakob Disease

    These include periodic lateralising epileptiform discharges in encephalitis, frontal intermittent delta activity in toxic–metabolic or structural abnormalities (if asymmetrical[doi.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]

  • 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]

  • Stroke

    Periodic lateralized epileptiform discharges: Aetiology and association with EEG seizures. Neurology Asia 9: 107-108. Markus HS (2004) Cerebral perfusion and stroke.[omicsonline.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]

    Missing: Prominent Sulci
  • Subarachnoid Hemorrhage

    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] 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]

    Missing: Prominent Sulci
  • Herpes Simplex Encephalitis

    lateralized epileptiform discharges. 1 Whereas it is gratifying to learn that the boy recovered fully after treatment with 15 mg of acyclovir per kilogram of body weight[nejm.org] Patients with HSE typically present with a prodrome of headaches and fever, followed by sudden focal neurological deficits and altered mental status.[amboss.com] Periodic Lateralized Epileptiform Discharges (PLEDS) were present in EEG.[neurologyindia.com]

    Missing: Prominent Sulci
  • Intracerebral Hematoma

    mental status should be treated I Continuous EEG monitoring in patients with altered mental status that is out of proportion to extent of brain injury IIa 16 Concurrent cardiac[intechopen.com] Initial symptoms may include a change in mental status, meaning an alteration in the wakefulness of the patient.[medicinenet.com] […] of SBP IIb 13 High blood sugar Control adequately, avoiding hypoglycemia I 14 Fever Control adequately IIb 15 Seizures Clinical seizures and abnormal EEG in patients with altered[intechopen.com]

    Missing: Prominent Sulci
  • Epilepsy

    Focal cortical dysplasia is a common cause of medically refractory epilepsy in infancy and childhood. We report a neonate with seizures occurring within the first day of life. Continuous video-EEG monitoring led to detection of left motor seizures and a right frontal EEG seizure pattern. Brain MRI revealed a lesion[…][ncbi.nlm.nih.gov]

    Missing: Prominent Sulci
  • Encephalopathy

    mental status, tonic-clonic seizures, and hypertension.[ncbi.nlm.nih.gov] Posterior reversible encephalopathy syndrome is an encephalopathy that can be clinically characterized by headache, altered mental status and/or seizures.[ncbi.nlm.nih.gov] Clinical case: Seizures and altered mental status in a young woman We may have just posted an episode on the initial evaluation of a patient with altered mental status, and[brainwaves.me]

    Missing: Prominent Sulci
  • Brain Neoplasm

    mental status Ataxia Nausea Vomiting Weakness Gait disturbance Central nervous system (CNS) neoplasms also may manifest as follows: Focal seizures Fixed visual changes Speech[emedicine.medscape.com] Manifestations may be nonspecific and include the following: Headache Altered mental status Ataxia Nausea Vomiting Weakness Gait disturbance CNS neoplasms also may manifest[emedicine.medscape.com] […] compression of essential gray or white matter Shifting of intracranial contents Secondary cerebral ischemia Symptoms may be nonspecific and include any of the following: Headache Altered[emedicine.medscape.com]

    Missing: Prominent Sulci

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