RT Book, Section A1 Ortega-Gutierrez, Santiago A1 Desai, Naman A1 Claassen, Jan A2 Lee, Kiwon SR Print(0) ID 1101642441 T1 Status Epilepticus T2 The NeuroICU Book YR 2012 FD 2012 PB McGraw-Hill Education PP New York, NY SN 9780071636353 LK neurology.mhmedical.com/content.aspx?aid=1101642441 RD 2024/03/28 AB Generalized convulsive status epilepticus. A previously healthy 19-year-old woman was 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. She was not incontinent but she did bite her tongue. Emergency medical services (EMS) were activated and immediately transferred her to the closest ED, where she was found to be lethargic with a temperature of 101.3°F. The rest of her vitals were within normal limits. She had bilaterally reactive pupils to light, an intact oculocephalic reflex, and intact corneal reflexes. She localized to painful stimulation with the left arm but did not move the right side. Her tone was decreased on the right side with a positive Babinski sign. The remainder of her neurologic examination was unremarkable. An admission chest radiograph and head computed tomography (CT) were unrevealing. On returning from the CT imaging, the patient had a second generalized tonic-conic seizure witnessed by the ED staff which lasted slightly more than 5 minutes.