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74 Possible Causes for Confusion, Dysarthria, Paranoid State

  • Acute Intermittent Porphyria

    Symptoms started early in childhood and included severe ataxia, dysarthria, severe psychomotor delay, and central and peripheral neurologic manifestations.[ncbi.nlm.nih.gov] Acute attacks present with episodes of severe abdominal pain, nausea, confusion and severe life-threatening seizures.[ncbi.nlm.nih.gov] The highly variable symptomatic presentation of AIP causes confusion with other diseases and results in a high misdiagnosis rate (68% in China) and delayed effective treatments[ncbi.nlm.nih.gov]

  • Acute Hepatic Porphyria

    RESULTS: All patients identified prodromal symptoms that began days prior to acute severe pain; the most common included confusion ("brain fog"), irritability, and fatigue[ncbi.nlm.nih.gov] […] weeks, neurological symptoms (muscular weakness, sensory loss or convulsions) and psychological symptoms (irritability, anxiety, auditory or visual hallucinations, mental confusion[orpha.net] Not to be confused with Porphyra.[en.wikipedia.org]

  • Wilson Disease

    Clinical manifestations of neurologic Wilson's disease include variable combinations of dysarthria, dystonia, tremor, and choreoathetosis.[ncbi.nlm.nih.gov] People who are confused or unable to care for themselves may need special protective measures.[medlineplus.gov] Initially, the patient presented with akathisia, sialorrhea, oromandibular dystonia (occasionally grimacing) and slight dysarthria.[ncbi.nlm.nih.gov]

  • Anti-NMDA Receptor Encephalitis

    […] episode: psychiatric syndrome (delusional thinking, personality change), auditory hallucinations, STMD, dysphagia, horizontal nystagmus, vertical gaze paresis, MV 2nd episode: dysarthria[ncbi.nlm.nih.gov] In the unresponsive state, affected individuals have their eyes open but are unresponsive to visual threats.[dx.doi.org] Recognition of the syndrome, especially in pediatric populations, is difficult and often undiagnosed and/or confused with neurological disorders with similar clinical features[ncbi.nlm.nih.gov]

  • Rabies

    In September 2015, a Wyoming woman was admitted to a local hospital with a 5-day history of progressive weakness, ataxia, dysarthria, and dysphagia.[ncbi.nlm.nih.gov] Progressive Rabies Symptoms As the disease progresses, neurological symptoms appear and may include: Insomnia Anxiety Confusion Slight or partial paralysis Excitation Hallucinations[rabies.emedtv.com] Five months after exposure, she still had dysarthria, weakness in the left hand and foot, bilateral extensor plantar response, generalized choreoathetosis, intermittent dystonia[content.nejm.org]

  • CADASIL Syndrome

    She had spastic dysarthria. External ocular movements were full without nystagmus. Other cranial nerves and fundi were normal.[neurologyindia.com] He had some delusions about important persons of state.[doi.org] Some individuals may not show signs of the disease until later in life. 0002381 Coma 0001259 Confusion Disorientation Easily confused Mental disorientation Last updated: 6[rarediseases.info.nih.gov]

  • Phencyclidine Intoxication

    Dysarthria. Muscle rigidity. Seizures or coma. Hyperacusis. D.[dsm.wikia.com] […] delusions Catatonia Speech difficulties Depersonalization Salivation Seizures Coma Death According to the Drug Abuse Warning Network (DAWN), around 75,000 people in the United States[riveroakstreatment.com] Someone high on PCP may show signs of confusion and poor perception.[phencyclidine.org]

  • Dementia

    […] but relatively well-preserved memory; and individuals with Binswanger's disease (a type of vascular dementia) experience stroke-related neurological symptoms, including dysarthria[asha.org] 290.12 - Presenile Dementia with Delusional Features; Presenile Dementia, Paranoid Type 290.13 - Presenile Dementia with Depressive Features; Presenile Dementia, Depressed[web.archive.org] Treating conditions that can lead to confusion often greatly improve mental function.[nlm.nih.gov]

  • Cannabis Abuse

    Amnesia, balance disorder, disturbance in attention, dysarthria, dysgeusia, lethargy, memory impairment somnolence. Blurred vision. Vertigo.[patient.info] There may also be panic reactions, hallucinations, paranoid states with fixed delusions and even acute psychosis.[ncbi.nlm.nih.gov] Why This Matters The combination of the terms is important because “dependence” could be confusing to some clinicians and patients since the term is used medically to describe[rogershospital.org]

  • Juvenile Paralysis Agitans of Hunt

    List of possible causes of Dysarthria or similar symptoms may include: 8 Acanthocytosis (Dysarthria) Aceruloplasminemia (Dysarthria) Achondroplasia (Dysarthria) Adrenomyeloneuropathy[familydiagnosis.com] state Paranoia Paranoia querulans Paranoid psychosis Paranoid state Paraphrenia (late) Sensitiver Beziehungswahn Excludes 1: mood [affective] disorders with psychotic symptoms[app.drchrono.com] Although others are less clear on the anatomical basis for athetosis, confusion may have arisen with their description of movement disorders resulting from what may well either[academic.oup.com]

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