Table 1.
Investigation | Differential diagnoses ruled out |
Blood sugar level | Hypoglycaemic encephalopathy |
CT brain, MRI brain | Stroke, brain metastases, abscesses, normal pressure hydrocephalus |
Electrolytes and renal panel | Electrolyte abnormalities |
Liver panel | Hepatic encephalopathy |
Thyroid function test and thyroid antibodies | Hashimoto encephalopathy |
CRP, ESR, autoimmune screen | Autoimmune encephalitis |
Serology and CSF for HIV, cryptococcus, syphilis, tuberculosis, viral | Meningitis or encephalitis of fungal, bacterial, viral aetiologies |
B12, folate | B12, folate deficiency dementia |
EEG | Status epilepticus |
Heavy metal screening | Heavy metal toxic encephalopathy |
Paraneoplastic panel | Paraneoplastic limbic encephalopathy |
Clinical features, CT brain, MRI brain | Alzheimers/frontotemporal dementia |
CRP, C reactive protein; CSF, cerebrospinal fluid; ESR, erythrocyte sedimentation rate.