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Case 31 

Case 31
Chapter:
Case 31
Author(s):

Harutomo Hasegawa

, Matthew Crocker

, and Pawan Singh Minhas

DOI:
10.1093/med/9780199599837.003.0031
Page of

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date: 23 September 2019

A 27-year-old woman presents to the emergency department following a witnessed first grand mal seizure. She was working at her desk, fell to the floor, shook violently for 30 seconds, and was then unconscious. She bit her tongue but was not incontinent. In the emergency department 20 minutes later she is drowsy but responding to voice and obeying commands. Her left arm is weak.

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