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104 Possible Causes for Bilateral Babinski's Reflex, Somnolence, Stroke

  • Hypoglycemia

    Nocturnal attacks are often preceded by nightmares and cause severe sleep disturbance resulting in daytime somnolence. Only a perfect diet will control hypoglycemia.[fibromyalgiatreatment.com] […] subcutaneously to keep near-normal blood glucose levels, preventing the progression and onset of diabetes-related complications, i.e. kidney failure, blindness, amputation, stroke[ncbi.nlm.nih.gov] This is seen in people with diabetes treated with insulin who may show reduction in spontaneous movements and speech, somnolence, poor thinking and work performance, changes[patient.info]

  • Subdural Hematoma

    Patients with chronic subdural hematoma (CSDH) typically present with symptoms of increased intracranial pressure, including headache, nausea/vomiting, and somnolence, or[ncbi.nlm.nih.gov] Here, we present the case of a 64 year-old male whose prostate carcinoma's metastasis mimicked a subdural hematoma, and he suffered a middle cerebral artery stroke.[ncbi.nlm.nih.gov] 9.2 median 52.0 males (n 19) mean age SD (yrs) 48.1 9.7 median age 51.0 females (n 8) mean age SD (yrs) 53.1 7.1 median age 55.5 leading symptoms (multiple) headache 15 somnolence[doi.org]

  • Epidural Hematoma

    The exam may also show signs of increased ICP, such as: Headaches Somnolence Confusion Nausea and vomiting If there is increased ICP, emergency surgery may be needed to relieve[nlm.nih.gov] A 71-year-old male presented with sudden neck pain followed by left-sided hemiparesis, and was believed to have had a stroke.[ncbi.nlm.nih.gov] […] can result in clinically significant morbidity and/or mortality if it is not diagnosed and treated promptly. [1, 2] EDH is considered a neurosurgical emergency in which somnolence[emedicine.medscape.com]

  • Stroke

    How are strokes diagnosed?[medlineplus.gov] A "stroke chameleon" (SC) is stroke which is diagnosed as something else.People not having a stroke may also be misdiagnosed as a stroke.[en.wikipedia.org] For patients with acute stroke, management in a stroke care unit, intravenous tissue plasminogen activator within 3 h or aspirin within 48 h of stroke onset, and decompressive[ncbi.nlm.nih.gov]

  • Brain Abscess

    Early mortality following stroke: a prospective review. Stroke. 1984 ; 15 :492-496.[stroke.ahajournals.org] Together with Stroke Syndromes, it emphasizes pattern recognition in the location and diagnosis of stroke.[books.google.ro] One type, neurogenic stuttering, is usually attributable to strokes or other structural damages to the brain areas that are responsible for language fluency.[ncbi.nlm.nih.gov]

  • Insulinoma

    This is seen in people with diabetes treated with insulin who may show reduction in spontaneous movements and speech, somnolence, poor thinking and work performance, changes[patient.info] […] carcinoid metastases has been reported. 9 Histologically proved metastatic carcinoid was treated successfully for 12 years in a separate patient who then died of a haemorrhagic stroke[pmj.bmj.com] […] hypoglycemia in patients with insulinoma. 50-52 With reported mixed effectiveness and a large number of adverse effects (including neurological disorders such as nystagmus, somnolence[hormones.gr]

  • Hyponatremia

    This lady’s urgent admission to hospital was prompted by somnolence following an intentional overdose (7,500 mg) of her sodium valproate medication.[acutecaretesting.org] METHOD: In a two year, single center open labeled observational study of ESL in patients with imaging proven stroke with new onset post stroke seizure were included.[ncbi.nlm.nih.gov] They include: headache nausea, loss of appetite, vomiting malaise lethargy weakness poor coordination muscle cramps somnolence disorientation personality change Physical Exam[sharinginhealth.ca]

  • Basilar Artery Thrombosis

    A computed tomography of the brain was normal, but subsequently the patient developed additional symptoms including nausea, ventilation problems (dyspnoea) and somnolence.[ncbi.nlm.nih.gov] , Texas Tech University Health Sciences Center, Odessa, Texas, USA. wang.li@ttuhsc.edu Abstract The incidence of the basilar artery occlusion is relatively low among all strokes[ncbi.nlm.nih.gov] Neurological examination revealed a fluctuating mental status, right-sided cranial nerve weaknesses, decreased right-sided extremity strength, and an upward Babinski reflex[jaocr.org]

  • Cerebral Thrombosis

    However, during the course of disease the differences in frequency of seizure type and motor deficits vanish.9 Mental status changes especially somnolence/ drowsiness were[jpma.org.pk] This results in artery occlusion, ischemia and stroke.[symptoma.com] Isolated Mental Status Changes Occasionally, patients with CVT will present with somnolence or a confusional state in the absence of obvious focal neurological abnormalities[stroke.ahajournals.org]

  • Hepatic Encephalopathy

    Clinically overt HE includes personality changes, alterations in consciousness progressive disorientation in time and space, somnolence, stupor and, finally, coma.[ncbi.nlm.nih.gov] This case illustrates the need for careful assessment of background pathophysiology when diagnosing patients with stroke-like symptoms.[ncbi.nlm.nih.gov] […] posturing; muscle spasticity; and bilateral extensor plantar reflexes (see reflex, babinski).[icd9data.com]

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