What is the differential diagnosis for a 64-year-old gentleman with a history of recurrent falls, resulting in a fracture to the occipital and parietal bone, who has been eating and drinking well, without recent medication changes, and has no other reported symptoms?

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Last updated: January 8, 2026 • View editorial policy

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What is the appropriate workup for a 64-year-old male with no recent medication changes, who experienced sleep walking and falls 4 nights ago, resulting in a fracture to the occipital and parietal bone, and was reported to be catatonic in bed at one point, with no recall of the events?

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