scholarly journals 72-year-old man • fever • new-onset urinary frequency • altered mental state • Dx?

2021 ◽  
Vol 70 (9) ◽  
Author(s):  
Tsewang
2011 ◽  
Vol 5 (1) ◽  
pp. 15-25
Author(s):  
Rocco Galimi

In the elderly, new onset of epilepsy is often associated with vague complaints such as confusion, altered mental status, or memory problems. The absence of clinically apparent convulsions in association with an electroencephalogram showing continuous or recurrent seizure activity has been called nonconvulsive status epilepticus (NCSE). The purpose of this article is to describe the clinical and electroencephalographic features of NCSE in older adults. NCSE is an important, under-recognised and reversible cause of acute prolonged confusion. Although attempts have been made to define and classify this disorder, there is no universally accepted definition or classification yet that encompasses all subtypes or electroclinical scenarios. A urgent electroencephalogram is considered as the method of choice in the diagnostic evaluation of NCSE. Further researches are needed to better define NCSE.


Brain Injury ◽  
2019 ◽  
Vol 33 (8) ◽  
pp. 1064-1069 ◽  
Author(s):  
Durga Roy ◽  
Matthew E. Peters ◽  
Allen Everett ◽  
Jeannie-Marie Leoutsakos ◽  
Haijuan Yan ◽  
...  

1993 ◽  
Vol 27 (4) ◽  
pp. 638-652 ◽  
Author(s):  
Bruce Spittle ◽  
Josie Parker

Wernicke's encephalopathy producing an altered mental state may occur in malnourished psychiatric patients even in the absence of alcohol abuse. A case is reported of a woman, aged 61 years, with schizophrenia who refused her medication for four months, had the delusion she was dying from a tumour, and withdrew to her bed with a neglect of her nutrition. She was committed to hospital in a mute unresponsive state and after taking some food and fluids for four days lapsed into coma. She responded within three hours to the administration of thiamine. Clinicians need to remain vigilant to the possibility that an altered mental state in malnourished patients may be due to thiamine deficiency rather than to the primary psychiatric disorder. If doubt exists as to the presence of Wernicke's encephalopathy, then parenteral thiamine should be administered.


2015 ◽  
Vol 49 ◽  
pp. 245-249 ◽  
Author(s):  
Anu Muraja-Murro ◽  
Esa Mervaala ◽  
Susanna Westeren-Punnonen ◽  
Pasi Lepola ◽  
Juha Töyräs ◽  
...  

Gerontology ◽  
2007 ◽  
Vol 53 (6) ◽  
pp. 388-396 ◽  
Author(s):  
Stefan Beyenburg ◽  
Christian E. Elger ◽  
Markus Reuber

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