Case 1: A 54-year-old man presented with a 10-day history of headache, fever. At admission neurologic examination and Brain-CT were normal. Blood cultures showed Streptococcus bovis. [ncbi.nlm.nih.gov]

A 58-year-old man, a shepherd, was admitted to Centre Hospitalier National (Nouakchott, Mauritania) on July 2, 2012, with fever and epistaxis. One week earlier, he had fever, nausea, and vomiting. [wwwnc.cdc.gov]

However, the patient developed a fever of 37.6 C and 0.5 g paracetamol (Southwest Pharmaceutical Co., Ltd., Chongqing, China) was administered orally as an antipyretic. [spandidos-publications.com]

Signs and symptoms [ edit ] Clinical manifestations of intraparenchymal hemorrhage are determined by the size and location of hemorrhage, but may include the following: [ citation needed ] Hypertension, fever, or cardiac arrhythmias Nuchal rigidity Subhyaloid [en.wikipedia.org]

An 18-month-old male infant with moderate hemophilia A was admitted with fever, vomiting, and hypersomnia. There was no history of trauma or seizure. [ncbi.nlm.nih.gov]

Although most subdural hematomas (SDH) are caused by extrinsic factors, forensic pathologists should consider the possibility of intrinsic SDH. In addition, postmortem angiography can be useful for identifying vascular lesions in such cases. [ncbi.nlm.nih.gov]

Favorable outcome was achieved in 68% of patients with good-grade clinical presentation on admission (Hunt and Hess Grades I-III) versus 23% of the patients with poor-grade presentation (Hunt and Hess Grades IV and V, p 0.0001). [ncbi.nlm.nih.gov]

Mitral regurgitation was evidenced. A methicillin-sensitive staphylococcus aureus left-sided IE was diagnosed. Pre- and post-contrast Brain-CT were normal. He presented 15 days later a secondarily generalized status epilepticus. [ncbi.nlm.nih.gov]

Seizures, intracranial hypertension signs, neurological deficits, macrocrania, developmental delay and bulging of the skull are the main signs and symptoms of the lesion. [ncbi.nlm.nih.gov]

At any time during this clinical sequence, the patient may demonstrate the Cushing reflex—systemic arterial hypertension and bradycardia—which is also a secondary sign of severe intracranial hypertension. [alpfmedical.info]

Neurosurgeons should be aware that SIH patients do not always present with orthostatic headache. [ncbi.nlm.nih.gov]

Ninety percent of patients with preoperative seizures were seizure free after operation for 3 months. Independent predictors of seizures were GCS CONCLUSION: Occurrence of seizures affected severity and outcomes after surgical treatment of aSDH. [ncbi.nlm.nih.gov]

METHODS (CASE PRESENTATIONS): Identical twin brothers presented 1 year and 10 days apart to an academic medical center after incurring confusion, decreased mental functioning, and a subsequent comatose state. [ncbi.nlm.nih.gov]

The patient may have loss of memory and confusion. Other symptoms include lethargy, nausea, vomiting, and behavioral changes as well as weakness, impaired vision or even seizures. [sportsinjuryclinic.net]

The patient was discharged with mild confusion 40 days after the admission. [jmedicalcasereports.biomedcentral.com]

Deterioration in consciousness, including increasing confusion, sleepiness, and a deep coma, can quickly follow. [merckmanuals.com]

Main clinical presentations were with depressed sensorium, coma, stupor, drowsiness, headache, motor weakness, lethargy, and seizure. [ncbi.nlm.nih.gov]

Other symptoms include lethargy, nausea, vomiting, and behavioral changes as well as weakness, impaired vision or even seizures. Causes Chronic subdural intracranial hematomas usually occur in those over the age of 60. [sportsinjuryclinic.net]

Symptoms of subdural hematomas include confusion, headache, movement difficulties, loss of sensation, visual changes, speech difficulties, seizures, lethargy, vomiting, and loss of consciousness. [healthgrades.com]

Symptoms often include headache, hemiparesis or alteration of consciousness like agitation, lethargy, or coma. If the acute subdural is small, it can be managed non-surgically. Antiplatelet drugs are stopped, and coagulation is corrected. [neurosurgerybasics.com]

We report a case of plasmacytoma that presented as altered mental status after head trauma, located in the subdural area. We also describe its differential diagnosis and treatment by total removal and adjuvant radiotherapy. [ncbi.nlm.nih.gov]

Altered mental status may be from an SDH, not ethanol. Consult a neurosurgeon as soon as the diagnosis is suspected and initiate transfer if a another facility is required for diagnosis or management. Media file 1: Acute subdural hematoma. [oncare.blogspot.com]

Gastrointestinal or Nutrition Issues Nutritional status must be closely monitored in SDH patients, especially those with altered mental status or coma. Supplemental nutrition may be required. [clinicaladvisor.com]

Twenty-four patients who underwent evacuation for acute or acute-on-chronic SDH and with epileptiform activity on EEG were identified retrospectively. [ncbi.nlm.nih.gov]

Twenty-one patients (87%) had epileptiform discharges on EEG; 13 of them (62%) had midline epileptiform discharges and 9 of them (43%) had periodic lateralized epileptiform discharges (PLEDs). [ncbi.nlm.nih.gov]

Poor early outcomes were associated with the presence of bilateral (P 0.03), midline (P 0.04), and bilateral independent multifocal discharges (P 0.09) on EEG. The EEG findings in this group of patients were complex. [ncbi.nlm.nih.gov]

Streptococcus pneumoniae was identified from bacterial cultures. Despite improvement in postoperative CT findings, she fell into septic shock and died 3 days after the drainage. [ncbi.nlm.nih.gov]

A methicillin-sensitive staphylococcus aureus left-sided IE was diagnosed. Pre- and post-contrast Brain-CT were normal. He presented 15 days later a secondarily generalized status epilepticus. [ncbi.nlm.nih.gov]

Blood cultures showed Streptococcus bovis. MRI 5 days later revealed ischemic spots and minime ASDH over the right convexity. [ncbi.nlm.nih.gov]