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3,678 Possible Causes for Fluctuating Level of Consciousness, Nystagmus, Sensorineural Hearing Loss Associated with ELSTs

  • Acute Alcohol Intoxication

    The first patient (female, 50 years old) had dysarthria, nystagmus and trunk ataxia on admission. Her blood alcohol level was 2.3‰.[ncbi.nlm.nih.gov] One (or more) of the following signs, developing during, or shortly after, alcohol use: (1) slurred speech (2) incoordination (3) unsteady gait (4) nystagmus (5) impairment[hams.cc] Due to their shared symptoms including double vision, nystagmus, dysarthria, and ataxia, the differential diagnosis of alcohol intoxication and vertebrobasilar stroke may[ncbi.nlm.nih.gov]

    Missing: Sensorineural Hearing Loss Associated with ELSTs
  • Stroke

    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] The first patient (female, 50 years old) had dysarthria, nystagmus and trunk ataxia on admission. Her blood alcohol level was 2.3‰.[ncbi.nlm.nih.gov] Posterior cerebral artery Monocular loss of vision (amaurosis) Ophthalmic artery (a branch of the internal carotid artery) Unilateral or bilateral cranial nerve deficits (eg, nystagmus[msdmanuals.com]

    Missing: Sensorineural Hearing Loss Associated with ELSTs
  • Traumatic Brain Injury

    Appetite changes Partial or total loss of vision Weakness of eye muscles and/or double vision (diplopia) Blurred vision Problems judging distance Involuntary eye movements (nystagmus[northeastern.edu] Hinoki MTerayama K Physiological role of neck muscles in the occurrence of optic eye nystagmus: relationship of optic head nystagmus to optic eye nystagmus in case of procanization[doi.org] A labyrinthine concussion is often manifested by vertigo, nystagmus, and nausea that occur after rapid changes in head position.[doi.org]

    Missing: Sensorineural Hearing Loss Associated with ELSTs
  • Transient Ischemic Attack

    […] is usually peripheral in nature, whereas vertical, pure torsional and/or bidirectional nystagmus, limb ataxia and pinprick sensation asymmetry are usually central Dix Hallpike[emergencymedicinecases.com] Posterior circulation† Nystagmus Vertigo (spinning sensation) Disconjugate gaze If subtle, blurry or double vision Homonymous visual-field cut Inability to see well, especially[aafp.org] […] neurological deficit and cerebrovascular risk factors Note: all causes of vertigo can be worsened by head movement Vertigo Physical examination Unidirectional horizontal nystagmus[emergencymedicinecases.com]

    Missing: Sensorineural Hearing Loss Associated with ELSTs
  • Meningitis

    […] of consciousness manifest by: Glasgow coma score (GCS) Fluctuating conscious level (drop in GCS 2) Papilloedema How is it diagnosed?[ncbi.nlm.nih.gov] She had nystagmus, scanning speech, bilateral papilloedema and ataxia. Cranial imaging showed a 10 mm tonsillar herniation. Posterior fossa decompression was done.[ncbi.nlm.nih.gov] History of central nervous system disease—mass lesion, stroke, focal infection New onset of seizure(s)—within one week of presentation Focal neurological deficit Abnormal level[ncbi.nlm.nih.gov]

    Missing: Sensorineural Hearing Loss Associated with ELSTs
  • Hepatic Encephalopathy

    Symptoms: changes in mental state, consciousness, behavior, personality forgetfulness confusion, disorientation delirium (acute, severe confusion with fluctuating level of[hepatitiscentral.com] Clinical features include lethargy and confusion (frequently progressing to coma); asterixis; nystagmus, pathologic; brisk oculovestibular reflexes; decorticate and decerebrate[icd9data.com] Avoid NIV; abdominal distension and a fluctuating level of consciousness will likely result in aspiration. HFNP is ok.[derangedphysiology.com]

    Missing: Sensorineural Hearing Loss Associated with ELSTs
  • Intracerebral Hematoma

    There may be little or no evidence of the usual signs of cerevellar disease, & only a minority of cases show nystagmus or ataxia of the limbs.[enotes.tripod.com] […] the following: [ citation needed ] Hypertension, fever, or cardiac arrhythmias Nuchal rigidity Subhyaloid retinal hemorrhages Altered level of consciousness Anisocoria, nystagmus[en.wikipedia.org] Although neuro-otological examinations especially gaze nystagmus, eye tracking and positional nystagmus tests, were useful for diagnosing the central vestibular lesions, no[ispub.com]

    Missing: Sensorineural Hearing Loss Associated with ELSTs
  • Von Hippel-Lindau Disease

    […] body, including the brain, spine, eyes, kidneys, pancreas, adrenal glands, inner ears, reproductive tract, liver and lung: Brain/Spinal Hemangioblastoma Headaches, ataxia, nystagmus[rarediseases.org] ) hearing loss, sensorineural, associated with elsts Genitourinary Kidneys: multiple renal cysts renal hemangioblastoma renal cell carcinoma (e.g., ) Genitourinary Internal[malacards.org] The majority of the patients had associated audiovestibular symptoms, including sensorineural hearing loss (84% of ears), tinnitus (73%), and vertigo (68%) that did not correlate[journal.frontiersin.org]

    Missing: Fluctuating Level of Consciousness
  • Cerebral Embolism

    There was no gaze preference or nystagmus. Corneal reflexes were intact. The right nasolabial fold was flattened, and right eye closure was decreased.[pediatrics.aappublications.org] Posterior cerebral artery Monocular loss of vision (amaurosis) Ophthalmic artery (a branch of the internal carotid artery) Unilateral or bilateral cranial nerve deficits (eg, nystagmus[merckmanuals.com]

    Missing: Sensorineural Hearing Loss Associated with ELSTs
  • Brain Neoplasm

    […] hemianopia or partial visual field deficits Anosmia may occur with frontal lobe tumors Brainstem and cerebellar tumors induce cranial nerve palsies, ataxia, incoordination, nystagmus[emedicine.medscape.com] Brain stem Cranial nerve dysfunction, ataxia, papillary abnormalities, nystagmus, hemiparesis, autonomic dysfunction Table 3.[aafp.org] Brain stem Cranial nerve dysfunction, ataxia, papillary abnormalities, nystagmus, hemiparesis, autonomic dysfunction The following have been reported by patients as the first[aafp.org]

    Missing: Sensorineural Hearing Loss Associated with ELSTs

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