This article reviews the significance of altered mental status in older emergency department patients. Specific diagnoses are discussed, including delirium, stupor and coma, and dementia, with a focus on delirium. Finally, an approach to all older patients is suggested that should result in increased clinician comfort with older patients, improved ability to communicate with other physicians, i...

A patient with an untreated carcinoma of the prostate was admitted with dehydration, stupor and a surprisingly deep hypocalcaemia. The severe hypocalcaemia was largely attributed to extensive osteoblastic activity due to widespread skeletal metastases although contributing factors to the severity of the hypocalcaemia were a relative vitamin D deficiency, hypomagnesaemia and renal impairment, pr...

A LTIIOUGII about three per cent of all hospital admissions are due to coma, it is unusual for the coma or stupor to last for a long period of time. We have been caring for a patient who has been unresponsive for more than 17 months. To maintain such a patient in adequate nutrition and health presents many problems. Some of the broader concepts of this management and the case history, which ill...

Toxic leucoencephalopathy is damage to cerebral white matter due to exposure to cranial irradiation, environmental toxins, drugs of abuse and chemotherapeutic agents. It results in wide variety of clinical manifestations like personality change, inattention, memory loss, abulia, stupor, coma and death. It leads to white matter demyelination which is visible on T2 weighted MRI as hyperintensity....

Katatonik şizofreni şizofreninin sık rastlanılmayan bir alt tipi olup; katalepsi veya stupor, istemli hareketlerde postür alma, aşırı negativizim, mutizm, manyerizm, ekolali ve ekopraksi gibi sterotipik hareketler şeklinde klinik belirtiler gösterir. Atipik antipsikotikler, benzodiazepinler, EKT ve NMDA antagonistlerinin katatonik şizofreninin tedavisinde etkili olduğu bildirilse de, halen kata...

Normal/increased pressure hydrocephaly is an unusual manifestation of systemic lupus erythematosus (SLE), and the pathogenesis is still unclear. We report the case of an 18-year-old white female with severe refractory renal and pulmonary involvement who developed stupor during intensive immunosuppressive treatment. Enlarged ventricles on imaging and increased intracranial pressure with the excl...