Advertisement!
Author Information Pack
Editorial Board
Submit article
Special Issue
Editor's selection process
Join as Reviewer/Editor
List of Reviewer
Indexing Information
Most popular articles
Purchase Single Articles
Archive
Free Online Access
Current Issue
Recommend this journal to your library
Advertiser
Accepted Articles
Search Articles
Email Alerts
FAQ
Contact Us
Indian Journal of Emergency Medicine

Volume  5, Issue 3, July-September 2019, Pages 205-208
 

Case Report

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

Dhileeban CM1, Sarat Kumar Naidu2, Dheeraj Bhaskaran Nair3

1Resident, 2Attending Consultant, 3HOD, Department of Emergency Medicine, Max Super Speciality Hospital, Vaishali, Ghaziabad, Uttar Pradesh 201012, India.

Choose an option to locate / access this Article:
640 days Access
Check if you have access through your login credentials.        PDF      |
|

Open Access: View PDF

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

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.


Corresponding Author : Sarat Kumar Naidu