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23 Possible Causes for Altered Mental Status, Prominent Sulci, Psychiatric Manifestation

  • Hypertensive Encephalopathy

    Delirium manifests clinically as a wide range of neural and psychiatric abnormalities. Obtaining a[…] [symptoma.com] Signup for free for more results[de.dict.md] 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

    Grossly, the lesion was marked by preserved gyral crests and involved sulci, resulting in prominent, mushroom-shaped gyri.[emedicine.medscape.com]

  • Subacute Sclerosing Panencephalitis

    Psychiatric manifestation of SSPE. J Neuropsychiatry Clin Neurosci 2006;18:560. [ PUBMED ] 3. Kartal A, Kurt AN, Gürkas E, Aydin K, Serdaroglu A.[ijpm.info] 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]

  • Leptomeningeal Metastasis

    Psychiatric manifestations can blur the neurological frame and confound management of this complication.[ncbi.nlm.nih.gov] 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]

  • Meningoencephalitis

    Google Scholar Talbot-Stern JK, Green T, Royle TJ: Psychiatric Manifestations of Systemic Illness.[cpementalhealth.biomedcentral.com] 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]

  • Postictal State

    Psychiatric manifestations or automatisms were rare. The presumed etiology was due to diverse causes, but a withdrawal state was the most common.[neurology.org] 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]

  • AIDS-associated Meningoencephalitis

    The work includes considerable emphasis onthe epidemiology, psychological and psychiatric aspects of the disease complex.[books.google.com] 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]

  • Alcoholic Amnestic Disorder

    psychiatric disorder (V71.01-V71.02) personality disorder with predominantly sociopathic or asocial manifestations (301.7) 309.4 Adjustment disorder with mixed disturbance[theodora.com] CT scan in cerebrocortical atrophy, showing ventricular dilation ( A ) and prominent cortical sulci ( B ).[neupsykey.com] These include cognitive impairment either as a primary feature or a secondary complication of a known neurologic disorder, other psychiatric symptoms as a manifestation or[primarypsychiatry.com]

  • Creutzfeldt Jakob Disease

    The disease usually presents in middle age, but one case of CJD in a 2 year old child was reported from Bombay. [8] Younger patients presenting with early psychiatric and[neurologyindia.com] 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]

  • Neurosyphilis

    Electroconvulsive therapy (ECT) is rarely used for the psychiatric manifestations of neurosyphilis: we identified only 19 cases in the literature.[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]