Importantly, other important causes of altered mental status
should be ruled out, including nonconvulsive seizures and central nervous system infections.
Our findings suggest that, in addition to vasculitis, toxic, and infectious etiologies, moyamoya ischemic pathology should be considered as the cause for a patient to present with altered mental status
, sudden onset bilateral upper motor neurological exam findings, and aphasia.
Given the nature of altered mental status
and neurologic findings, an emergent noncontrast head CT was performed (Figure 1).
It is therefore important to consider bacterial meningitis high on a differential diagnosis for patients who are taking biologic medications and present to the hospital with altered mental status
, even with atypical presentations.
Our patient presented with altered mental status
and had infiltrates on chest X-ray and was found to have positive cardiac troponin I.
Alternative diagnoses should be considered if the patient continues to have an altered mental status
despite optimal medical therapy.
Deficiency of Sodium or sodium levels below 135mEq/L can cause brain cells to swell, causing altered mental status
, lethargy and confusion.
Chang and Smith report a case of a patient who presented with an altered mental status
and evidence of cardiac ischemia.
It may result in altered mental status
, generalized convulsions with/without focal signs, restlessness, or cardiac arrest.
She has been having paroxysmal episodes of altered mental status
(AMS) requiring multiple hospitalization in the past year with no clearly identified etiology.
A lumbar puncture and CSF analysis is recommended for syphilis patients with eye or neurologic symptoms such as cranial nerve dysfunction, auditory disease, meningitis, loss of vibration sensation, stroke, or altered mental status
This guide answers 49 clinical questions involving the presentation and basic treatment of common neurological problems in pediatric neurology related to seizures, altered mental status
, headache, floppy baby, concussion, weakness, focal neurological disease, vision problems, vertigo, ataxia, genetic developmental delay, and unusual episodic moments, such as when to consider head imaging, signs of a stroke, neurodevelopmental disorders leading to language delay, the classification of movement disorders, and causes of hypotonia.