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44 Possible Causes for Altered Mental Status, Prominent Sulci, Seizure

  • 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] RESULTS: We identified 8233 patients with HE, 191 091 with seizure, and 308 680 with transient ischemic attack.[ncbi.nlm.nih.gov] His altered mental status, however, resolved with control of blood pressure.[ncbi.nlm.nih.gov]

  • Leptomeningeal Metastasis

    The lesions were more prominent in the cerebellar sulci compared with in the cerebral sulci.[ajnr.org] When LM occurs, signs and symptoms include headache, nausea, vomiting, lumbar back pain, and stiff or painful neck; LM also may lead to mental disturbances and seizures.[ncbi.nlm.nih.gov] Patients may present with an altered mental status. Additionally, focal or generalized seizures, as well as meningism, may be reported.[symptoma.com]

  • Hypoxia

    Grossly, the lesion was marked by preserved gyral crests and involved sulci, resulting in prominent, mushroom-shaped gyri.[emedicine.medscape.com] After extensive examination and consultation with neurology, the patient was diagnosed with hypoxia-induced seizure, but was not felt to have an underlying seizure disorder[ncbi.nlm.nih.gov] These symptoms were followed by grand mal seizure. Serum sodium level was 108 mmol/l.[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] Seizures.[patient.info] Altered mental status is rare and if present should increase suspicion for acute purulent meningitis or encephalitis.[infectiousdiseaseadvisor.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] CONCLUSIONS A diagnosis of DHZ should be considered in immunosuppressed patients treated with steroids who present with seizures.[ncbi.nlm.nih.gov] 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]

  • Subacute Sclerosing Panencephalitis

    This report describes a 5-year-old boy with an atypical feature of SSPE, generalized seizures.[ncbi.nlm.nih.gov] 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

    Ventricles, sulci and cisterns were mildly prominent for age and there was mild cerebral cortical volume loss.[annals-general-psychiatry.biomedcentral.com] The postictal period has not received as much attention as the time of seizure onset or the seizure itself.[ncbi.nlm.nih.gov] If a patient remains confused for longer than 20 minutes after a seizure, consider another cause of altered mental status [4].[ems1.com]

  • Primary Amebic Meningoencephalitis

    CT head showed prominent sulci suggestive of cerebral atrophy.[ncbi.nlm.nih.gov] The symptoms include headache, nausea, rigidity of the neck muscles, vomiting, delirium, seizures and coma. primary amebic menencephalitis naegleriasis amebic encephalitis[wikidata.org] 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]

  • Creutzfeldt Jakob Disease

    B, Corresponding FLAIR image shows marked prominence of ventricles and sulci for the patient’s age.[ajnr.org] Seizures are known to occur in Creutzfeldt-Jakob disease (CJD).[ncbi.nlm.nih.gov] .— Acute cerebellitis is a clinically defined condition most commonly characterized by acute cerebellar ataxia, associated with nausea, headache, and altered mental status[doi.org]

  • Marchiafava Bignami Disease

    Findings CT shows mild prominence of the ventricles and sulci consistent with mild generalized cerebral volume loss.[neuroradiologyonthenet.blogspot.com] Some present with psychiatric disturbances like dementia, others with more or less severe neurologic impairment, like gait disturbances, seizures, hemiparesis or tetraparesis[symptoma.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]

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