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68 yr, F, No known disease in the past, investigated foe first episode of unprovoked fit, discription suggestive of Generalised tonic clonic convulsion.Denied having any loss of wt / appetite.Examination failed to obtain any focal deficits.Systemic exam was unremarkable. Rotein blood work up, xray chest US abdomen were normal Pt was already refer to neurosurgeon . What is the possible diagnosis?
Dr. Manorama Rajan0 Like18 Answers - Login to View the image
42yrs old male having C/o GME since 4 months ,headache,Vomitting,left sided localized became generalized,No comorbidy All investigations are normal.Diagnosis and approach??
Dr. Prashant Vedwan6 Likes29 Answers - Login to View the image
New case 42 yr ,M, presented with one episode of left sided focal fit starting from left lower limb on 26 th of last month.Focal fit lasted for 10 mts and he developed left sided weakness soon after the fit. SINCE THEN HAVING ALMOST CONTINUOUS IRRITATING TYPE OF HEADCACHE ON THE RT SIDE OF HEAD. No vomiting. No previous history of seizures or any medical illness. On exam vitals stable. Normal higher functions and speech . Normal optic fundi. Mils obliteration of left nasolabial fold. Motor system gr 3/ 5 left side with DTRs +++,with rxyensor plantar lt side . Intact sensations. What abnormality in theMRzi brain?
Dr. Manorama Rajan2 Likes14 Answers - Login to View the image
20 year female with High Grade fever, Convulsions which last for 15 to 20 min, Profuse Vomitting *History* On and off headache since 6 months *Vitals* 103 temp 100/60 BP 120 HR 28 RR
Dr. Durgesh Patel1 Like7 Answers - Login to View the image
A 30yrs old male presented to ER with H/o stabbing right TemporoParietal headache since a year associated with dizziness.At the time of presentation patient had multiple episode of convulsive seizures. O/e - Semiconscious, disoriented,No focal neurological deficit,Pupils - Left 4mm RTL,Right 6mm SRTL,GCS - 11/15. DIAGNOSIS AND APPROACH??
Dr. Prashant Ved1 Like6 Answers