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33 Possible Causes for Altered Mental Status, Prominent Sulci, Psychosis

  • Hypertensive Encephalopathy

    There were no studies done or cases reported relating hypertension to psychosis. To our knowledge this is the first case of hypertension related psychosis.[omicsonline.org] 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]

  • Alcoholic Amnestic Disorder

    , Korsakoff's syndrome, Korsakov's psychosis, Korsakov's syndrome, polyneuritic psychosis Derived forms: alcohol amnestic disorders Type of: dementedness, dementia Encyclopedia[wordwebonline.com] CT scan in cerebrocortical atrophy, showing ventricular dilation ( A ) and prominent cortical sulci ( B ).[neupsykey.com] Abstract Ten patients with alcoholic chronic organic brain disease were categorized as having alcohol amnestic disorder, or Korsakoff's psychosis (n 6), dementia associated[ncbi.nlm.nih.gov]

  • 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]

  • Creutzfeldt Jakob Disease

    Other psychological features, such as anxiety, depression, paranoia, obsessive-compulsive symptoms, and psychosis, occur in 1/3 of cases.[symptoma.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]

  • Subacute Sclerosing Panencephalitis

    ., mania, psychosis, and catatonia) have also been reported during the initial course of the illness.[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]

  • Postictal State

    Impaired intellectual function and family history of psychosis predict a longer psychosis ( 17 ).[doi.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]

  • 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]

  • Marchiafava Bignami Disease

    Early symptoms may include depression, paranoia, psychosis, or dementia.[diseaseinfosearch.org] 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]

  • Meningoencephalitis

    Neurology, Hospital Egas Moniz, 1400 Lisbon, Portugal References Richards CF, Gurr DE: Psychosis.[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]

  • Leptomeningeal Metastasis

    Sustained corticosteroid-induced mania and psychosis despite cessation: A case study and brief literature review.[cambridge.org] 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]

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