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42 Possible Causes for Altered Mental Status, Prominent Sulci, Virus

  • AIDS-associated Meningoencephalitis

    Lancet Infect Dis. 2003, 3 (10): 611-623. 10.1016/S1473-3099(03)00770-9 View Article PubMed Google Scholar Arthur RR, Dagostin S, Shah KV: Detection of BK virus and JC virus[aidsrestherapy.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[cid.oxfordjournals.org] Altered mental status is rare and if present should increase suspicion for acute purulent meningitis or encephalitis.[infectiousdiseaseadvisor.com]

  • Meningoencephalitis

    On admission, reverse transcriptase PCR identified Ebola virus RNA at a higher level in CSF (cycle threshold value 23.7) than plasma (31.3); infectious virus was only recovered[ncbi.nlm.nih.gov] 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]

  • Subacute Sclerosing Panencephalitis

    The effect of human immunodeficiency virus (HIV) co-infection on subacute sclerosing panencephalitis remains elusive and rare.[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]

  • Creutzfeldt Jakob Disease

    […] similar virus-like particles in situ in infected cell lines with high titers.[ncbi.nlm.nih.gov] 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]

  • West Nile Encephalitis

    NILE VIRUS, WNV, West Nile virus (organism) Swedish West Nile-virus Czech virus západního Nilu Finnish West Nile -virus Russian LIKHORADKI ZAPADNOGO NILA VIRUS, ZAPADNOGO[fpnotebook.com] 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]

  • Progressive Multifocal Leukoencephalopathy

    JC virus (JCV) is a DNA virus causing progressive multifocal leukoencephalopathy (PML) in immunodeficient patients.[ncbi.nlm.nih.gov] The image from day 258 shows prominence of cerebellar sulci (red arrow) and increased size of fourth ventricle.[doi.org] Altered mental status is also observed. Visual assessment may be notable for conjugate gaze deficits and other abnormalities.[symptoma.com]

  • Candida Meningitis

    Ebola Virus View all topics Health Policy Epidemics Pain Management Ebola Virus Multimedia Multimedia Selected Multimedia View all multimedia Audio Clinical Practice Audio[nejm.org] […] in modelling of lateral ventricles, slight deviation of middle line to the right side and reduction of sulci dimensions ( A: T2 flair).[bmcresnotes.biomedcentral.com] Prognosis Cryptococcal meningitis The most important markers of poor prognosis in HIV-associated cryptococcal meningitis are altered mental status at presentation and high[online.epocrates.com]

  • Leptomeningeal Metastasis

    Cancer incidence in a population with a high prevalence of infection with human immunodeficiency virus type 1. J Natl Cancer Inst 1994; 86:1711–6.[link.springer.com] 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]

  • Hypertensive Encephalopathy

    HIV encephalopathy ( HIV-related encephalopathy ) a progressive primary encephalopathy caused by infection with human immunodeficiency virus type I, manifested by a variety[medical-dictionary.thefreedictionary.com] 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]

  • Postictal State

    This is not an indication of a security issue such as a virus or attack.[ncbi.nlm.nih.gov] 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]

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