The specimen is then sent to the laboratory for evaluation. CT or MRI scanning and lumbar puncture are more likely to be ordered in advanced HIV disease because of the increased risk of opportunistic infections and cancers. The management of altered mental status is dependent upon its cause. Brain infections are managed with specific antibiotic agents. Depending upon the type of infection, treatment may need to be lifelong.
Lymphoma is managed with some combination of radiation and chemotherapy.
A psychiatric disorder may be considered the probable reason for altered mental status once medical causes are excluded. If this type of problem is likely, your doctor may suggest an evaluation by a mental health professional.