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30 Possible Causes for Apnea, Fluctuating Level of Consciousness, Lip Smacking

  • Status Epilepticus

    (particularly when this is uncommon for the child) Features include altered mental state, confusion, unresponsiveness, abnormal (often subtle) motor movements, twitches, lip-smacking[dontforgetthebubbles.com] […] disturbance Acute consciousness disturbance Comatose state Mental alteration Fluctuation of consciousness level Prolonged consciousness disturbance Protracted coma Fluctuation[f1000research.com] Your eyes may flutter or blink repeatedly, and you may smack your lips. You may have several absence seizures throughout a day.[drugs.com]

  • Epilepsy

    […] and stop gradually rather than abruptly Last longer than 10 seconds Are more likely to cause falling May include automatisms such as blinking, eye fluttering, lip smacking[verywell.com] Co-morbid sleep disorders, including sleep apnea, insomnia, restless legs syndrome, and the parasomnias, occur frequently in people with epilepsy.[ncbi.nlm.nih.gov] […] identified in a 5-year-old boy with developmental delay associated with Rett-like features including stereotypic hand movements and respiratory abnormalities with episode of apnea[ncbi.nlm.nih.gov]

  • Stroke

    Those kinds of episodes can be accompanied by behavior that looks intentional but is not (such as lip smacking, picking at clothes, etc.).[urmc.rochester.edu] Has a depressed level of consciousness (Glasgow Coma Score below 13). Has unexplained progressive or fluctuating symptoms. Has papilloedema, neck stiffness or fever.[patient.info] Jäkälä, Juha Töyräs, Sami Myllymaa, Esa Mervaala, Katja Myllymaa ERJ Open Research 2017 3: P79; DOI: 10.1183/23120541.sleepandbreathing-2017.P79 Abstract Obstructive sleep apnea[openres.ersjournals.com]

  • Meningitis

    […] the lips, chewing involuntarily, gazing in different directions, or periodically going limp (a type of seizure) Sluggishness or listlessness (lethargy) A high-pitched crying[msdmanuals.com] […] of consciousness manifest by: Glasgow coma score (GCS) Fluctuating conscious level (drop in GCS 2) Papilloedema How is it diagnosed?[ncbi.nlm.nih.gov] Manifestations are often nonspecific (eg, temperature instability, respiratory distress, jaundice, apnea).[msdmanuals.com]

  • Anti-NMDA Receptor Encephalitis

    Sixty percent of those with orofacial dyskinesias had movements limited to the mouth alone, including lip smacking, tongue protrusion, and bruxism, each unassociated with[doi.org] Tachycardia and bradycardia, blood pressure lability, hyperthermia, hypoventilation, and/or apnea were each reported in most patients with autonomic instability.[doi.org]

  • Bacterial Meningitis

    […] the lips, chewing involuntarily, gazing in different directions, or periodically going limp (a type of seizure) Sluggishness or listlessness (lethargy) A high-pitched crying[merckmanuals.com] As the disease progresses, apnea episodes, twitching, seizures (up to 30% of cases), opisthotonos, and coma may develop.[atsu.edu] The disorder is characterized by subtle and nonspecific signs such as jitteriness, interrupted breathing (apnea), vomiting, diarrhea, and a yellowish skin color (jaundice)[rarediseases.org]

  • Uncinate Seizure

    .  They may have lip smacking or periods of no breathing. 10.[slideshare.net] […] disturbance Acute consciousness disturbance Comatose state Mental alteration Fluctuation of consciousness level Prolonged consciousness disturbance Protracted coma Fluctuation[f1000research.com] Cho, Kim, Noh, Kim, Lee, and Kim: Nocturnal Frontal Lobe Epilepsy Presenting as Obstructive Type Sleep Apnea Abstract A 20-year-old man presented with sleep apnea.[j-epilepsy.org]

  • Movement Disorder

    TD is characterized by repetitive, involuntary, purposeless movements such as grimacing, lip smacking, eye blinking or rapid leg and arm movements.[aans.org] He was admitted to the hospital with involuntary orofacial head movements, behavioral changes, and fluctuation in consciousness.[ncbi.nlm.nih.gov] However, they have rarely been observed in adults, where they can be idiopathic or associated with other sleep disorders including sleep apnea.[ncbi.nlm.nih.gov]

  • Benign Adult Familial Myoclonic Epilepsy

    A multidisciplinary team of leading authorities presents the latest on sleep breathing disorders (including obstructive sleep apnea), neuropharmacology, parasomnias, neurologic[books.google.de] Neurologic decline persists in stage III (decreased level of consciousness, autonomic instability (with a variable heart rate and widely fluctuating temperatures and blood[neuroweb.us] […] for a few tens of seconds epigastric aura, déjà-vu, etc. ② complex partial seizure : lasts for a few minutes unaware of surroundings motionless stare automatisms (such as lip[uoeh-neurology.org]

  • Organic Hallucination

    During one attack, while he was playing bridge, his wife noticed him smacking his lips.[jnnp.bmj.com] Patients demonstrate fluctuating levels of consciousness that they often manifest by periodically falling asleep during an interview.[aafp.org] Schenck, MD The term “parasomnia” refers to all the abnormal things that can happen to people while they sleep, apart from sleep apnea.[sleepfoundation.org]

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