RT Book, Section
A1 Roh, David
A1 Claassen, Jan
A2 Lee, Kiwon
SR Print(0)
ID 1143954159
T1 Status Epilepticus
T2 The NeuroICU Book, 2e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071841443
LK neurology.mhmedical.com/content.aspx?aid=1143954159
RD 2024/04/19
AB A  previously  healthy  19-year-old  woman  is  brought  to  the  emergency  department  (ED)  for  a  witnessed  “convulsion.”  She  had  suddenly  stopped  talking  and  stared  into  space  in  the  middle  of  a  conversation  with  her  roommates.  She  then  exhibited  stereotypical  picking  behavior  of  her  clothes  followed  by  head  deviation  to  the  right  and  generalized  tonic-clonic  arm  and  leg  movements  lasting  approximately  3  minutes.  Emergency  medical  services  (EMS)  were  activated  and  immediately  transferred  her  to  the  closest  ED,  where  she  is  found  to  be  lethargic,  with  a  temperature  of  101.3°F.  The  rest  of  her  vital  signs  are  within  normal  limits.  Her  pupils  are  bilaterally  reactive  to  light,  and  she  has  an  intact  oculocephalic  reflex  and  intact  corneal  reflexes.  She  localizes  to  painful  stimulation  with  the  left  arm  but  does  not  move  the  right  side.  The  remainder  of  her  neurological  examination  is  unremarkable.  Admission  chest  radiograph  and  head  computed  tomography  (CT)  are  unrevealing.  On  returning  from  the  CT  scanner,  she  has  a  second  generalized  tonic-clonic  seizure  witnessed  by  the  ED  staff  that  lasts  slightly  more  than  5  minutes.