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Case Report

Misleading Features of an Unwitnessed First Episode of Status Epilepticus; Causing Confusion with Assault and Head Injury

Sarat Kumar Naidu , Dhileeban CM1 , Sarat Kumar Naidu2 , Dheeraj Bhaskaran Nair3

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Indian Journal of Emergency Medicine 5(3):p 205-208, July-September 2019. | DOI: DOI: http://dx.doi.org/10.21088/ijem.2395.311X.5319.9

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Dhileeban CM, Sarat Kumar Naidu, Dheeraj Bhaskaran Nair. Misleading Features of an Unwitnessed First Episode of Status Epilepticus; Causing Confusion with Assault and Head Injury. Indian J Emerg Med. 2019;5(3):205-208.

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Abstract

The diagnosis of first episode of status epilepticus associated with head injury can be quite difficult unless it is witnessed. Such status epilepticus can lead to serious complications due to its prolonged seizure activity leading to hypoxia, hypotension, metabolic acidosis, cardiac dysrhythmias, neurogenic pulmonary edema, hyperthermia, rhabdomyolysis, and pulmonary aspiration and permanent brain damage and death. We hereby describe a case of a 41-year-old male who was found unresponsive in his balcony with multiple facial injuries initially mimicing assault with head injury but eventually confirmed to be a status epilepticus. He was well-managed by the emergency team and he was discharged in a stable condition with no focal neurological deficit.

Keywords: Head injury; Status epilepticus; Suspected assault; Seizure.

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Dhileeban CM, Sarat Kumar Naidu, Dheeraj Bhaskaran Nair. Misleading Features of an Unwitnessed First Episode of Status Epilepticus; Causing Confusion with Assault and Head Injury. Indian J Emerg Med. 2019;5(3):205-208.

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DOI: DOI: http://dx.doi.org/10.21088/ijem.2395.311X.5319.9

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