Article Figures & Data
Figures
- Figure 1
Axial CT brain showed left (A) and right (B) parasagittal hematoma without mass effect.
- Figure 2
Axial FLAIR MRI with bilateral diffuse high signal intensities.
- Figure 3
Electroencephalography showing generalized periodic discharges.
- Figure 4
Electroencephalography showing suppression-burst pattern.
- Figure 5
8 months later, a third CT brain showed complete resolution.
Tables
- Table 1
Relevant Past Medical History and Interventions of A 41-year-old, nonsmoker, married man who works in a college with no past relevant family or medical.
Dates Summaries from initial and follow-up visits Diagnostic testing Interventions March 2014 Local ER
- He complained of blurry vision and headache, and after 2 hours he developed generalized tonic-clonic seizure.
- He was taken to the ER- CT
- Brain MRI
- Lumbar puncture- Refer to the medication table below
- Intubation
- Antibiotics2 weeks later and for the next 8 months Tertiary hospital
ICU
- Comatosed with intermittent twitching of the face and upper extremity
- Prolonged seizure that lasted for more than 10 mins
- Antiphospholipid syndrome diagnosed
- Episodic right arm and leg jerk with right facial twitching
- Seizure suppression
Ward
- Neuropsychologists evaluation
- Stayed in the epilepsy ward for few months- Head CT
- Head MRI
- Neck Magnetic resonance angiography and venography (MRA/MRV)
- Cerebral angiography
- Continuous EEG
- Lumbar puncture
- Antibody workup
- Paraneoplastic workup
- Infection workup
- Whole body pet scan- Refer to the medication table below
- Intubated and ventilated on tracheostomy
- Induced hypothermiaAfter discharge
- 7 months of follow up by the rheumatology and epilepsy service he remained seizure free.
- Schizophrenia developedRefer to the medication table below Outcome
- Seizure control
- Moderate cognitive impairment
- Later developed SchizophreniaER - emergency room, ICU - intensive care unit, CT MRI - Computed Tomography Magnetic Resonance Imaging, MRA/MRV - Magnetic resonance angiography and venography, EEG - Electroencephalography
Local hospital emergency room ICU medication Antiepileptic medications in ICU Discharge medications Midazolam Midazolam Prednisolone Carbamazepine Fentanyl Fentanyl Levetiracetam Lamotrigine Propofol Propofol Carbamazepine Levetiracetam Ketamine Phenobarbital Phenobarbital Thiopental Phenytoin Lorazepam IV Ig Lamotrigine Escitalopram Hypothermia Ranitidine Risperdal Steroid Risperdal Rituximab Escitalopram Warfarin Warfarin ICU - intensive care unit, IV Ig - intravenous immunoglobulin
In this issue
Jump to section
Related Articles
Cited By...
- No citing articles found.