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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[] MRI of the brain showed some effacement of cortical sulci, rendering the vessels prominent, with increased T2-weighted signal diffusely scattered throughout both hemispheres[] Altered mental status is rare and if present should increase suspicion for acute purulent meningitis or encephalitis.[]

  • 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[] MRI of the brain showed some effacement of cortical sulci, rendering the vessels prominent, with increased T2-weighted signal diffusely scattered throughout both hemispheres[] 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[]

  • Subacute Sclerosing Panencephalitis

    The effect of human immunodeficiency virus (HIV) co-infection on subacute sclerosing panencephalitis remains elusive and rare.[] They can range from hyperintensities in the parietal and occipital region, brain stem lesions, and marked atrophy, causing prominence of sulci.[] mental status.[]

  • Creutzfeldt Jakob Disease

    […] similar virus-like particles in situ in infected cell lines with high titers.[] B, Corresponding FLAIR image shows marked prominence of ventricles and sulci for the patient’s age.[] .— Acute cerebellitis is a clinically defined condition most commonly characterized by acute cerebellar ataxia, associated with nausea, headache, and altered mental status[]

  • 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[] 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.[] 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[]

  • Progressive Multifocal Leukoencephalopathy

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

  • 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[] […] in modelling of lateral ventricles, slight deviation of middle line to the right side and reduction of sulci dimensions ( A: T2 flair).[] Prognosis Cryptococcal meningitis The most important markers of poor prognosis in HIV-associated cryptococcal meningitis are altered mental status at presentation and high[]

  • 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.[] The lesions were more prominent in the cerebellar sulci compared with in the cerebral sulci.[] Patients may present with an altered mental status. Additionally, focal or generalized seizures, as well as meningism, may be reported.[]

  • Hypertensive Encephalopathy

    HIV encephalopathy ( HIV-related encephalopathy ) a progressive primary encephalopathy caused by infection with human immunodeficiency virus type I, manifested by a variety[] 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[] His altered mental status, however, resolved with control of blood pressure.[]

  • Postictal State

    This is not an indication of a security issue such as a virus or attack.[] Ventricles, sulci and cisterns were mildly prominent for age and there was mild cerebral cortical volume loss.[] If a patient remains confused for longer than 20 minutes after a seizure, consider another cause of altered mental status [4].[]

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