73-Year-Old Woman With Fever and Mental Status Changes

Hunderfund, Andrea N. Leep; Jama, Abdi A.; Nyman, M.

doi:10.4065/82.7.874

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Encephalitis/meningoencephalitis1

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2010

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Cited by 2 publications

(3 citation statements)

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“…Focal neurologic findings are seen in up to 90% of cases; HSV‐1 is actually the most common viral cause of encephalitis with focal neurologic findings. Seizures occur in approximately 50% of patients, who may present with status epilepticus or even nonconvulsive status in up to 25% 23–25 . Interestingly, CSF analysis has significant limitations in HSV encephalitis.…”

Section: Faculty Discussionmentioning

confidence: 99%

An 11‐year‐old Female With Altered Mental Status, Speech Changes, and Abnormal Jerking Movements

Berkeley

Sohoni

2010

Academic Emergency Medicine

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Section: Faculty Discussionmentioning

confidence: 99%

An 11‐year‐old Female With Altered Mental Status, Speech Changes, and Abnormal Jerking Movements

Berkeley

Sohoni

2010

Academic Emergency Medicine

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“…6]) and focal neurological deficits (hemiparesis, aphasia, ataxia). Lymphocytic pleocytosis, asymmetric and enhancing MRI abnormalities in the frontal and temporal lobes (in 90% of cases) and focal EEG changes (including periodic lateralised epileptiform discharges [PLEDs]) are typically associated.The cerebrospinal fluid herpes simplex polymerase chain reaction has a sensitivity/specificity >95% for the diagnosis [21].…”

Section: Encephalitis/meningoencephalitismentioning

confidence: 99%

“…Figure 6 drawal, metabolic disturbances, (herpes) encephalitis [21] (fig. 6), stroke and brain trauma may be involved [33].…”

Section: Figurementioning

confidence: 99%

Differential diagnosis and management of non-psychiatric acute confusional states

Bassetti¹

2007

Swiss Arch Neurol Psychiatr

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SummaryBassetti CL. Differential diagnosis and management of non-psychiatric acute confusional states. Schweiz Arch Neurol Psychiatr. 2007;158:368-78. Acute confusional states (ACS, syn. delirium) represent a medical emergency with significant morbidity, mortality and socio-economic consequences. This paper offers an overview on nonpsychiatric causes of acute confusional states and their management. Identification of risk and precipitating factors for acute confusional states, neurological (stroke, traumatic brain injury, encephalitis, non-convulsive status epilepticus, etc.) and non-neurological causes (metabolic-septic encephalopathies, intoxications/poisonings, etc.) of acute confusional states and occurrence of acute confusional states in special settings (intensive care unit, postoperative situation, advanced cancer) are discussed first. Differential diagnosis, diagnostic work-up and treatment strategies of non-psychiatric acute confusional states are then presented. The review is completed with six clinical vignettes.

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73-Year-Old Woman With Fever and Mental Status Changes

Cited by 2 publications

References 12 publications

An 11‐year‐old Female With Altered Mental Status, Speech Changes, and Abnormal Jerking Movements

An 11‐year‐old Female With Altered Mental Status, Speech Changes, and Abnormal Jerking Movements

Differential diagnosis and management of non-psychiatric acute confusional states

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