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43 Possible Causes for Altered Mental Status, Prominent Sulci, Vomiting

  • Hypertensive Encephalopathy

    A 80-year-old woman manifested as high arterial blood pressure, visual disturbance, severe headache, nausea, and vomiting.[ncbi.nlm.nih.gov] 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]

  • Leptomeningeal Metastasis

    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] 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]

  • Brain Stem Herniation

    A 36 year old man began to suffer garbled speech, vomiting, and left-sided weakness.[altizerlaw.com] 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] Angiomas and Telangiectasia 228 Presenting Symptoms 229 Outcomes 230 Moyamoya Syndrome 231 Outcomes 232 Nursing Care for Vascular Brain Lesions 233 Management of Nausea and Vomiting[books.google.com]

  • Primary Amebic Meningoencephalitis

    The symptoms include headache, nausea, rigidity of the neck muscles, vomiting, delirium, seizures and coma. primary amebic menencephalitis naegleriasis amebic encephalitis[wikidata.org] 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]

  • West Nile Encephalitis

    A 57-year-old Caucasian woman presented with fever, dizziness, balance difficulties, vomiting, dancing eye, altered speech, tremor, generalized myoclonus and failure to rise[ncbi.nlm.nih.gov] 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]

  • Meningoencephalitis

    Patient was admitted with severe headache, fever intermittent, nausea, vomiting and slurring of speech. CT scan and MRI scan findings were normal.[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]

  • AIDS-associated Meningoencephalitis

    The first symptoms of this infection are usually fever, fatigue, nausea, vomiting and headache.[aidsinfo.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[cid.oxfordjournals.org] Altered mental status is rare and if present should increase suspicion for acute purulent meningitis or encephalitis.[infectiousdiseaseadvisor.com]

  • Toluene Poisoning

    Emetic — A medication or substance given to induce vomiting.[medical-dictionary.thefreedictionary.com] C, Sagittal T1-weighted (600/15/1) midline image shows thinning of the corpus callosum, which is more prominent in the body and genu. Note the enlarged cerebellar sulci.[ajnr.org] mental status, confusion, hallucinations, euphoria, depression, ataxia and visual deficits.[symptoma.com]

  • Marchiafava Bignami Disease

    The second patient was 55-year-old male with chronic alcohol intake developed acute onset vomiting followed by behavioral abnormalities and altered sensorium.[ncbi.nlm.nih.gov] Findings CT shows mild prominence of the ventricles and sulci consistent with mild generalized cerebral volume loss.[neuroradiologyonthenet.blogspot.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]

  • Alcoholic Amnestic Disorder

    […] sometimes be associated with disorders other than alcohol misuse, including anorexia, overly stringent dieting, fasting, starvation or weight-loss surgery; uncontrolled vomiting[alz.org] CT scan in cerebrocortical atrophy, showing ventricular dilation ( A ) and prominent cortical sulci ( B ).[neupsykey.com] […] of substance use in effort to challenge users abuse; individual is responsible Medications that block the desire to drink Disulfiram (Antabuse) Naltrexone Causes violent vomitting[quizlet.com]

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