18th August 2020

A 32-year-old man has been referred to neurology clinic

A 32-year-old man has been referred to neurology clinic. Two weeks ago, he collapsed and was witnessed having a seizure. The collateral history given describes an episode lasting around three minutes, in which he fell to the ground, with all four limbs jerking in a rhythmic fashion. His eyes were open, but he lost all awareness. During the episode, he bit his tongue, and when he came around, he was confused and drowsy. He has little memory of the event. He was seen in A&E at the time, with any acute medical cause of a seizure excluded, and had a normal CT head. He was referred onwards to neurology clinic. During the past two weeks, he has had two further episodes like this. An EEG has been done, which captured a seizure, with the tracing showing epileptiform activity. It is decided that he should be started on some anti-epileptic medication.

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