Clinical Reasoning: A case of altered mental status, not otherwise specified

A 33-year-old right-handed woman presented with a 1-week history of rapid cognitive decline. The behavioral changes emerged gradually, with the first sign marked by erratic driving resulting in arrest. The patient was nonchalant about the detainment, which was out of character. In the preceding week, she had a precipitous decline in cognitive abilities, including a loss of interest in grooming, emotional outbursts, fecal and urinary incontinence, difficulty performing household chores, and jerky movements of her arms and legs impairing her ability to walk.

Source: Neurology - September 25, 2017 Category: Neurology Authors: Swor, D. E., Sharp, F. R., Jickling, G. C. Tags: MRI, All Clinical Neurology, Clinical neurology examination, All Neuropsychology/Behavior, All Toxicology RESIDENT AND FELLOW SECTION Source Type: research