Sudden collapse

A 45 y/o female was taken by her colleagues to the hospital. She suddenly collapsed at work while having lunch. She was complaining of mild headache since morning. He body started shaking and she fell on the ground. Her head hit the desk and she was not opening eyes. They sprinkle water on her eyes but still she remained unconscious. On arrival she was following commands but was feeling little drowsy. GCS-12 on arrival. She had similar episode around 5-6 years back. No other Past medical or family history. She is not taking any medication. What investigations should be done.

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History suggestive of seizure Evaluation on the same line.. NCCT being 1st immediate investigation to rule out any acute pathology and rule out head injury due to fall..

Stoke Adam syndrome moderate brain injury do cbc fbs serum creatinine lft serum electrolyte hb1 ac t3 t4 tsh EEG MRI brain holter 24 hr ecg xray chest

? SYNCOPE .. ? INTRA CRANIAL / BRAIN PATHOLOGY.. ? HYPOGLYCEMIA .. * BSR..HBA1C.. * ANEMIA PROFILE.. * HEMOGRAM.. * ECG STUDY.. * CTCE STUDY BRAIN..

All suggestions cannot be carried out except history part. This part indicates brain pathology may be some tumor or aneurysm ruptured nearby medulla

NEEDS INVESTIGATION... 1. EEG 2. C T. SCAN 3. S. ELECTROLYTES

Hypoglycemia.. Brain diseases TIA..

CECT OF BRAIN, BLOOD SUGAR LFT RFT

45 yr old lady suddenly became unconcious and fell down with shaking movements.On arriving thr hospital she became concious ,obeying commands. The history is suggestive of seizure ,not syncope.She had similar episode 6 yrs ago. She needs all routein blood work up including electrolytes.MRI brain with contrast and an EEG

Get a MR angio & venogram and plan for echo holter & EEG...send routine biochemistry..