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10 Possible Causes for Impaired Judgement, Multifocal Spikes and Progressive Slowing of Background Activity

  • Hypoglycemia

    Methadone is a synthetic μ-opioid receptor agonist that is used in the management of pain, neonatal abstinence withdrawal syndrome, and opioid dependence. Overdose can cause miosis, respiratory depression, and central nervous system depression. Rarely, hypoglycemia has been reported. We present the case of an[…][ncbi.nlm.nih.gov]

  • Alzheimer Disease

    It affects memory, thinking, orientation, comprehension, calculation, learning capacity, language, and judgement. Consciousness is not affected.[who.int] Progression is evident as increasing impairment of memory developing gradually into a global impairment of cognition, including orientation, language, judgement, perceptual[dx.doi.org] The impairment in cognitive function is commonly accompanied, and occasionally preceded, by deterioration in emotional control, social behaviour, or motivation.[who.int]

  • Traumatic Brain Injury

    ; disrupted insight, judgement, and thought; reduced processing speed; distractibility; and deficits in executive functions such as abstract reasoning, planning, problem-solving[en.wikipedia.org] […] frontal atrophy may have impaired post-retrieval evaluation processes leading the patient to falsely conclude, based on more general characteristics of the study episode,[dx.doi.org] Memory loss, the most common cognitive impairment among head-injured people, occurs in 20–79% of people with closed head trauma, depending on severity.[en.wikipedia.org]

  • Hyponatremia

    Sarcoidosis is an inflammatory disease with unknown cause characterized by non-caseating granuloma formations. It may present with bilateral hilar lymphadenopathy, skin lesions, eye and musculoskeletal system involvement. Hypercalcemia and hypercalciuria are important electrolyte imbalances resulting from sarcoidosis[…][ncbi.nlm.nih.gov]

  • Stroke

    BMJ Case Rep. 2018 Jan 26;2018. pii: bcr-2017-222686. doi: 10.1136/bcr-2017-222686. Author information 1 Orthopaedic Surgery, National University Hospital, Singapore, Singapore. 2 Orthopaedic Surgery, Khoo Teck Puat Hospital, Yishun, Singapore. Abstract Spontaneous spinal epidural haematoma (SSEH) is a rare condition[…][ncbi.nlm.nih.gov]

  • Dementia

    Common dementia signs and symptoms include: Memory loss Impaired judgement Difficulties with abstract thinking Faulty reasoning Inappropriate behavior Loss of communication[helpguide.org] Common dementia signs and symptoms Memory loss Impaired judgement Difficulties with abstract thinking Faulty reasoning Inappropriate behavior Loss of communication skills[helpguide.org] It affects memory, thinking, orientation, comprehension, calculation, learning capacity, language, and judgement. Consciousness is not affected.[web.archive.org]

  • Acute Intermittent Porphyria

    Porphyria Types Urine can have this appearance during an attack or upon standing in the light. This is one of the hereditary hepatic porphyrias. Its inheritance is autosomal dominant. The deficient enzyme is porphobilinogen deaminase (PBGD), also known as hydroxymethylbilane synthase. This enzyme was formerly known[…][web.archive.org]

  • Wernicke Encephalopathy

    J Neuroophthalmol. 2010 Mar;30(1):49-53. doi: 10.1097/WNO.0b013e3181ce80c6. Author information 1 Department of Neurological Sciences, Rush University Medical Center, Chicago, Illinois, USA. Abstract A 52-year-old woman with alcohol abuse presented with recent worsening of vision, imbalance, and confusion. Examination[…][ncbi.nlm.nih.gov]

  • Metabolic Encephalopathy

    Fumarase deficiency is a very rare inborn error of metabolism caused by decreased activity of fumarate hydratase enzyme. We describe a fumarase-deficient infant who presented with encephalopathy, metabolic crisis, psychomotor retardation, hypotonia, seizures, and facial dysmorphism. To our knowledge, this is the[…][ncbi.nlm.nih.gov]

  • Meningoencephalitis

    Common characteristic symptoms of ME are fever, headache, nausea, vomiting, stiff neck and back, weak muscles, impaired judgement, confusion and drowsiness.[symptoma.com]

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