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31 Possible Causes for Altered Mental Status, Prominent Sulci, Tachycardia

  • Hypoxia

    Grossly, the lesion was marked by preserved gyral crests and involved sulci, resulting in prominent, mushroom-shaped gyri.[emedicine.medscape.com] […] eutrophication. hy·pox′ic adj. hypoxia [hīpok′sē·ə] Etymology: Gk, hypo oxys, sharp, genein, to produce inadequate oxygen tension at the cellular level, characterized by tachycardia[medical-dictionary.thefreedictionary.com] The signs include central cyanosis, frothy sputum, and crackles/wheezing in at least one lung field, tachypnea and tachycardia. 21,23 HAPE is most often misdiagnosed or mistreated[academic.oup.com]

  • 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] She had frequent bouts of hyperpyrexia, tachycardia, hypertension, and irregular breathing.[doi.org] mental status.[ncbi.nlm.nih.gov]

  • Primary Amebic Meningoencephalitis

    CT head showed prominent sulci suggestive of cerebral atrophy.[ncbi.nlm.nih.gov] 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] METHODS AND RESULTS We describe two children, aged four and 14 years, who both presented with seizures and altered mental status after recent fresh water swimming exposures[unboundmedicine.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]

  • 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] Limited role because of reflex tachycardia causing increased cardiac oxygen demand.[razianesth.freeservers.com] His altered mental status, however, resolved with control of blood pressure.[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] She underwent caesarean section for tachycardia of fetus. Symptoms remained during early puerperium. We describe diagnostic and treatment hesitations.[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]

  • Postictal State

    Ventricles, sulci and cisterns were mildly prominent for age and there was mild cerebral cortical volume loss.[annals-general-psychiatry.biomedcentral.com] Patients may also have tachycardia, diaphoresis, tremulousness, and/or anxiety.[cdemcurriculum.com] If a patient remains confused for longer than 20 minutes after a seizure, consider another cause of altered mental status [4].[ems1.com]

  • Brain Stem Herniation

    The fluid space between the cortex and the calvarium appears to be increased and the sulci/gyri may appear prominent. View prominent sulci/gyri.[hawaii.edu] As pressure increases near the medulla, the patient may experience projectile vomiting with no associated nausea, and cardiac arrhythmias can range from supraventricular tachycardia[emsworld.com] At 8:00 am on the 7th day, periods of ventricular tachycardia and fibrillation started to appear leading to severe hemodynamic compromise and elevated ICP.[stroke.ahajournals.org]

  • Marchiafava Bignami Disease

    Findings CT shows mild prominence of the ventricles and sulci consistent with mild generalized cerebral volume loss.[neuroradiologyonthenet.blogspot.com] Other symptoms are tachycardia, hypotension and tachypnea. Read More Download full-text PDF Source [Severe metabolic acidosis in an alcoholic].[pubfacts.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]

  • 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] At admission, physical examination revealed fever (38 C), tachycardia (102 beats/min) and weight loss (approximately 10 kg in the last three months).[elsevier.es] Altered mental status is rare and if present should increase suspicion for acute purulent meningitis or encephalitis.[infectiousdiseaseadvisor.com]

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