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24 Possible Causes for Fluctuating Level of Consciousness, Hypotension, Spasticity - Hyperreflexia

  • Hyponatremia

    They are primarily central nervous system (CNS) manifestations, such as irritability, restlessness, lethargy, muscular twitching, spasticity and hyperreflexia, all of which[aafp.org] After several weeks of suffering from gastroenteritis with vomiting, she presented with disturbance of consciousness, hypotension, dehydration, and severe hyponatremia (108[ncbi.nlm.nih.gov] He was in poor general condition, hypotensive, and he had dry mucous membranes and skin as well as mucosa hyperpigmentation.[ncbi.nlm.nih.gov]

  • Hypernatremia

    Muscle twitching, tremor, spasticity, hyperreflexia, and lethargy may also be seen. Coma, seizures, and muscle weakness are later signs.[aneskey.com] A shunt tap revealed intracranial hypotension with good proximal flow.[ncbi.nlm.nih.gov] , twitching, spasticity 430: seizures and death Urine osmolarity (Uosm) Can be used to determine cause when etiology unclear (not usually in ED, part of inpatient workup)[fprmed.com]

  • Binswanger Disease

    Low back pain Progressive encephalopathy Pseudobulbar signs Rigidity Spasticity Urinary incontinence Last updated: 1/1/2017 Source: GARD (NIH) 1 • • • Back to: « Cerebral[familydiagnosis.com] level of consciousness; common with toxic and metabolic disorders and acute febrile systemic infections dementia acquired and sustained loss of memory and other intellectual[strokecenter.org] This pallor can only be due to cerebral edema, most likely of hypoxic-ischemic, hypotensive, or acidotic origin.[ncbi.nlm.nih.gov]

  • Demyelinating Disease

    The most common presenting symptom of demyelinating diseases are sensory disturbances of the limbs, vision loss, and subacute motor symptoms (e.g, weakness, spasticity, hyperreflexia[symptoma.com] Delirium Sudden confusion with decreased or fluctuating level of consciousness. Delirium tremens A complication that may accompany alcohol withdrawal.[the-medical-dictionary.com] Hypotension and bradycardia are frequently encountered and may require fluid support.[clinicaladvisor.com]

  • Diffuse Serous Labyrinthitis

    On examination, he is found to have normal reflexes and strength in his arms and hyperreflexia in his legs with upgoing toes, and his gait is spastic.[classes.kumc.edu] Two new chapters on Hypotension and Photophobia.[books.google.de] POSTURAL HYPOTENSION The major symptom of postural hypotension, also called orthostasis, is low blood pressure.[encyclopedia.com]

  • Meningeal Disorder

    , hyperreflexia/ extensor plantar response (upgoing toe) vacuolar myelopathy vacuolation of myelin in the posterior and lateral columns of the primarily thoracic spinal cord[strokecenter.org] […] disorders of nervous system, not elsewhere classified G97.0 Cerebrospinal fluid leak from spinal puncture G97.1 Other reaction to spinal and lumbar puncture G97.2 Intracranial hypotension[icd10data.com] Loss of the fluid that cushions and protects the brain may lead to intracranial hypotension, intense headaches The most common cause of intracranial hypotension, or low cerebrospinal[cedars-sinai.edu]

  • Cerebral Arteriosclerosis

    , hyperreflexia/ extensor plantar response (upgoing toe) vacuolar myelopathy vacuolation of myelin in the posterior and lateral columns of the primarily thoracic spinal cord[strokecenter.org] When hypotension and cerebral vascular disease coexist, cerebral complications are more likely to occur, since their effects may be additive.[annals.org] […] in the level of consciousness.[medical-dictionary.thefreedictionary.com]

  • Cortical Blindness

    Later, hyperreflexia and spasticity become evident. Seizures are common.[disorders.eyes.arizona.edu] level of consciousness; common with toxic and metabolic disorders and acute febrile systemic infections dementia acquired and sustained loss of memory and other intellectual[strokecenter.org] We report an 11-year-old female patient with muscular dystrophy who underwent posterior spinal fusion and instrumentation under hypotensive anesthesia for scoliosis who developed[ncbi.nlm.nih.gov]

  • Posterior Fusion of Lumbosacral Vertebrae-Blepharoptosis Syndrome

    Spasticity Deformed radius Axillary apocrine gland hypoplasia Long uvula Unilateral oligodactyly Short 4th toe Intellectual disability, moderate Imperforate hymen Short 5th[mendelian.co] level of consciousness; common with toxic and metabolic disorders and acute febrile systemic infections dementia acquired and sustained loss of memory and other intellectual[strokecenter.org] Postural headache in Marfan syndrome associated with spinal cysts and liquor hypotension. Neuropediatrics 2009;40:201-4. 35.[jcvjs.com]

  • Occipital Lobe Tumor

    , hyperreflexia/ extensor plantar response (upgoing toe) vacuolar myelopathy vacuolation of myelin in the posterior and lateral columns of the primarily thoracic spinal cord[strokecenter.org] Late signs of VAE include hypotension, arrhythmias, cyanosis, and mill wheel murmurs – VAE incidence is 25% in sitting position.[openanesthesia.org] There are two forms of Cerebrospinal-fluid flow issues that might develop; intracranial pressure ( obstructive hydrocephalus ) and CSF leak ( Intracranial Hypotension ). 3[nf2is.org]

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