New-onset absence status epilepsy presenting as altered mental status in a pediatric patient

2001 ◽  
Vol 37 (4) ◽  
pp. 402-405 ◽  
Author(s):  
Peter J. Benson ◽  
Eileen J. Klein
Keyword(s):  
Pediatric Patient ◽  
Mental Status ◽  
Altered Mental Status ◽  
Absence Status ◽  
New Onset

Pediatric Patient With Altered Mental Status and Hypoxemia

2017 ◽  
Vol 33 (7) ◽  
pp. 486-488 ◽  
Author(s):  
Jeremy M. Root ◽  
Marcela Vargas ◽  
Luigi R. Garibaldi ◽  
Richard A. Saladino
Keyword(s):  
Pediatric Patient ◽  
Mental Status ◽  
Altered Mental Status

Case 34-2021: A 38-Year-Old Man with Altered Mental Status and New Onset of Seizures

2021 ◽  
Vol 385 (20) ◽  
pp. 1894-1902
Author(s):  
Andrew J. Cole ◽  
Jonathan E. Slutzman ◽  
Edward T. Ryan ◽  
Michael H. Lev ◽  
George Eng
Keyword(s):  
Mental Status ◽  
Altered Mental Status ◽  
New Onset

Adult Male With Altered Mental Status and New-Onset Seizures

2010 ◽  
Vol 55 (2) ◽  
pp. 225-231
Author(s):  
David M. Solomon ◽  
Maria Saccio ◽  
Krista Savarese ◽  
Barry Hahn
Keyword(s):  
Mental Status ◽  
Adult Male ◽  
Altered Mental Status ◽  
New Onset

CSF studies which ultimately led to the possible diagnosis of anti-NMDAR encephalitis

2020 ◽  
Vol 13 (5) ◽  
pp. e233489
Author(s):  
Caroline Roberts ◽  
Morgan McEachern ◽  
Anne Mounsey
Keyword(s):  
Mental Status ◽  
Autoimmune Encephalitis ◽  
Altered Mental Status ◽  
Good Prognosis ◽  
Urine Drug Screen ◽  
Autonomic Dysregulation ◽  
Urine Drug ◽  
Blood Pressures ◽  
Electroencephalogram Eeg ◽  
New Onset

A 17-year-old man with no significant medical history presented with new-onset seizure activity and altered mental status manifesting as bizarre behaviour, which included rapid pressured and tangential speech, psychomotor agitation, insomnia and delusions. He also had autonomic dysregulation, manifested in labile blood pressures. He had been recently discharged from his first psychiatric hospitalisation. Many studies were performed, including electroencephalogram (EEG), head CT, laboratory work, urine drug screen and lumbar puncture with cerebral spinal fluid studies, which ultimately led to the diagnosis of anti-N-methyl-D-aspartate receptor (NMDAR) autoimmune encephalitis. He was treated with five rounds of plasmapheresis with complete resolution of his altered mental status. This case highlights the importance of being familiar with the presentation of anti-NMDAR autoimmune encephalitis, especially in cases of new-onset mental status changes with psychotic like symptoms, seizure-like activity and autonomic dysregulation as early detection and treatment improves chances of good prognosis with return to baseline cognitive function.

scholarly journals A Rare Case of Bartonella Encephalitis With Hemiplegia

2019 ◽  
Vol 6 ◽  
pp. 2329048X1982648 ◽  
Author(s):  
Laura Rosas ◽  
Kavya Rao ◽  
Christine McGough ◽  
Ashley Becker
Keyword(s):  
Pediatric Patient ◽  
Mental Status ◽  
Rare Case ◽  
Right Hemisphere ◽  
Acute Flaccid Paralysis ◽  
Altered Mental Status ◽  
Flaccid Paralysis ◽  
Atypical Presentation ◽  
Neurologic Manifestations ◽  
Cat Scratch Disease

The authors describe a 12-year-old girl with an atypical presentation of Bartonella encephalitis. She presented with fever and altered mental status and developed flaccid paralysis of her left upper extremity a day later. An electroencephalogram showed slowing over her right hemisphere. She had mild leukocytosis and bandemia, but her imaging and cerebrospinal studies were unrevealing. After five days, her symptoms resolved and she was discharged home on doxycycline due to suspicion for Bartonella encephalitis. The patient admitted to playing with a kitten two months prior, but she lacked the classic regional lymphadenopathy. Bartonella titers were sent during her hospitalization and returned positive after her discharge. Cat scratch disease neurologic manifestations are uncommon, with hemiplegia being exceedingly rare. This case illustrates that focal neurologic signs may develop during cat scratch disease infection and suggests that cat scratch disease encephalitis should be considered during evaluation of a pediatric patient with acute flaccid paralysis.

Intracranial Tuberculomas: An Unusual Cause of Altered Mental Status in a Pediatric Patient

2010 ◽  
Vol 38 (3) ◽  
pp. 323-327 ◽  
Author(s):  
James D. Krygowski ◽  
Delon F.P. Brennen ◽  
Francis L. Counselman
Keyword(s):  
Pediatric Patient ◽  
Mental Status ◽  
Altered Mental Status

scholarly journals Pediatric Absence Status Epilepticus: Prolonged Altered Mental Status in an 8-Year-Old Boy

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Scott J. Adams ◽  
Melody Wong ◽  
Tahereh Haji ◽  
Shahmir Sohail ◽  
Salah Almubarak
Keyword(s):  
Status Epilepticus ◽  
Mental Status ◽  
Clinical Presentation ◽  
Altered Mental Status ◽  
Impaired Consciousness ◽  
Idiopathic Generalized Epilepsy ◽  
Altered Sensorium ◽  
Absence Status ◽  
Generalized Epilepsy

Absence status epilepticus is characterized by a prolonged state of impaired consciousness or altered sensorium with generalized electroencephalographic abnormalities. It is most commonly diagnosed in patients with known idiopathic generalized epilepsy; however, it may also be the first presentation of epilepsy. Due to the subtle and variable manifestations of the condition, absence status epilepticus may be underrecognized, particularly in children. We present the case of an 8-year-old boy who experienced two episodes of prolonged altered mental status, subsequently determined to be absence status epilepticus with idiopathic generalized epilepsy with phantom absences. We discuss the classification, pathophysiology, clinical presentation, and electroencephalographic findings of pediatric absence status epilepticus and provide a practical overview for management.

Sign in / Sign up

Export Citation Format

Share Document