Thursday, September 22, 2016

CT or No CT? Young male with new onset seizure

SEIZURES:

24 year old male is brought to ED by his friends, who had seizure while they were having a dine out at a restaurant. Initially patient developed headache, which was gradual in onset, moderate intensity, got worse with time and resulted into fits. He had tonic clonic fits lasting 3 minutes which terminated spontaneously. Patient had post ictal state; On examination patient was found to have tongue bite and trauma to his scalp with sub galeal hematoma.
CT Brain was ordered and showed following films:

Whats the diagnosis and give rationale.

1. SOL (Astrocytoma, ganglioma, schwanoma,etc,
2. Ischemic stroke
3. Normal CT-Brain
4. Toxoplasmosis
5. No CT should be done, observe and discharge home with instructions





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