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28 Possible Causes for Altered Mental Status, Prominent Sulci, Vertigo

  • 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] Patient 2, a 46-year-old man with an untreated hypertension, presented with extremely high blood pressure and general fatigue, vertigo, and mild dysarthria as the initial[ncbi.nlm.nih.gov] 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] Hyperoxia may cause: vertigo , behavior changes, and other central nervous system changes such as seizures and/or tissue damage that may result in pneumonia , eye changes[medicinenet.com] Hyperoxia may cause: vertigo, behavior changes, and other central nervous system changes such as seizures and/or tissue damage that may result in pneumonia, eye changes like[medicinenet.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] mental status.[ncbi.nlm.nih.gov] A 20-year-old pregnant woman with altered mental status. N Engl J Med 357:589–600 PubMed CrossRef Google Scholar 30.[link.springer.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] A 53-year-old man who presented with viral prodrome followed by intense vertigo and encephalopathy.[ncbi.nlm.nih.gov] 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]

  • Leptomeningeal Metastasis

    The lesions were more prominent in the cerebellar sulci compared with in the cerebral sulci.[ajnr.org] After 4 years she was admitted to our Department for the development of subacute right deafness, vertigo and imbalance.[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]

  • 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] Symptoms may also include symptoms of increased intracranial pressure, such as severe headache, vertigo, nausea, convulsions and mental confusion.[patient.info] 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] The most important imitators of epileptic seizures are dizziness, vertigo, syncope, complicated migraine; and somewhat less frequently sleep disorders, transient cerebral[books.google.ro] If a patient remains confused for longer than 20 minutes after a seizure, consider another cause of altered mental status [4].[ems1.com]

  • Marchiafava Bignami Disease

    Findings CT shows mild prominence of the ventricles and sulci consistent with mild generalized cerebral volume loss.[neuroradiologyonthenet.blogspot.com] Case 1, a 56-year-old man who presented with vertigo and unstable gait of 2 days’ duration.[ajnr.org] 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]

  • Creutzfeldt Jakob Disease

    B, Corresponding FLAIR image shows marked prominence of ventricles and sulci for the patient’s age.[ajnr.org] Vertigo and dizziness are common neurological symptoms in general practice.[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]

  • 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] , or evoked. positional nystagmus occurs when a person's head is in a specific position. an example of disease state in which this occurs is benign paroxysmal positional vertigo[allnurses.com] […] is a minor symptom, major events can be related to overdrainage for instance, VIth cranial nerve palsy, binasal field deficit, transient visual obscuration, hyperacousia, vertigo[jnnp.bmj.com]

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