TY - CHAP M1 - Book, Section TI - Status Epilepticus A1 - Roh, David A1 - Claassen, Jan A2 - Lee, Kiwon Y1 - 2017 N1 - T2 - The NeuroICU Book, 2e 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. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - neurology.mhmedical.com/content.aspx?aid=1143954159 ER -