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149 Possible Causes for Fluctuating Level of Consciousness

  • Subdural Hematoma

    Other signs and symptoms of subdural hematoma include the following: A history of recent head injury Loss of consciousness or fluctuating levels of consciousness Irritability[] Mental status changes can present as dementia, mild confusion, and various levels of decreased consciousness, including obtundation. 19,57,62 A recent retrospective analysis[] Seizures Pain Numbness Headache (either constant or fluctuating) Dizziness Disorientation Amnesia Weakness or lethargy Nausea or vomiting Personality changes Inability to[]

  • Cerebral Edema

    level of consciousness, sustained heart rate deceleration (decrease more than 20 beats per minute) not attributable to improved hydration or sleep, age-inappropriate incontinence[] level of consciousness Heart rate decelerations (decline of more than 20 bpm) not due to improved hydration or sleep Age-inappropriate incontinence Minor Criteria Vomiting[] […] response to pain, decorticate or decerebrate posture, cranial nerve palsy, abnormal neurogenic respiratory pattern (grunting, tachypnea) Major criteria - altered mental status, fluctuating[]

  • Hepatic Encephalopathy

    Symptoms: changes in mental state, consciousness, behavior, personality forgetfulness confusion, disorientation delirium (acute, severe confusion with fluctuating level of[] Avoid NIV; abdominal distension and a fluctuating level of consciousness will likely result in aspiration. HFNP is ok.[] consciousness) dementia (loss of memory, intellect, reasoning, and other functions) changes in mood decreased alertness, daytime sleepiness decreased responsiveness, progressive[]

  • Subarachnoid Hemorrhage

    In the ED, she also develops nausea and vomiting with a fluctuating level of consciousness. A CT scan of her head is obtained and shown in Figure A.[]

  • Cerebral Thrombotic Thrombocytopenic Purpura

    levels of consciousness and evanescent focal neurological deficits.[] […] mental status and level of consciousness.[] Characteristic findings include the microvascular deposition of hyaline thrombi that stain for fibrin, thrombocytopenia, microangiopathic haemolytic anemia, fever, renal failure, fluctuating[]

  • Thrombotic Thrombocytopenic Purpura

    […] mental status and level of consciousness.[] […] focal neurologic deficits (from transient small vessel occlusions with recanalization) and changes in the level of consciousness, from either nonconvulsive status epilepticus[] […] drugs such as cyclosporine A or FK506, 100 connective tissue diseases, and cancer) Nonconvulsive status epilepticus (NCSE) can mimic a common manifestation of TTP marked by fluctuating[]

  • Anti-NMDA Receptor Encephalitis

    Herpes simplex encephalitis (HSE) in children is a potentially devastating condition which is occasionally complicated by a clinical relapse. An autoimmune component has long been suspected in these relapses and recent findings suggest that antibodies against N-methyl-D-aspartate receptors (NMDARs) may be part of[…][]

  • Basilar Artery Occlusion

    level of consciousness.[] Fig. 2 A 54-year-old man with hypertension and dyslipidemia presented with nausea and vomiting, fluctuating left-sided weakness, and a fluctuating level of consciousness.[] If the deficits are more severe, such as hemiparesis, tetraparesis, and a fluctuating level of consciousness, then a more aggressive IA therapy is recommended after the administration[]

  • Heat Stroke

    Heat stroke is a life-threatening condition which is characterised by nausea, vomiting, confusion, disorientation and coma. Aggressive treatment in the form of intravenous fluids along with other symptomatic management can be life saving. Here we present an unusual case of heat stroke followed by disseminated[…][]

  • Epidural Hematoma

    Cervical nerve root avulsion after trauma is a well-known occurrence. It is associated with traction injuries to the brachial plexus, commonly after high-speed motor vehicle collisions. Traumatic nerve root avulsion occurs when traction forces pull the nerve root sleeve into the intervertebral foramen with associated[…][]

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