Emergency Department Presentation of a New-Onset Seizure: A Case Report.
Adv Emerg Nurs J
; 40(4): 260-266, 2018.
Article
em En
| MEDLINE
| ID: mdl-30365439
ABSTRACT
A seizure is a symptom of brain dysfunction, resulting in 1.6 million emergency department visits each year. The evaluation of new seizures in the emergency department is a process looking for triggers of seizures such as toxins, mass lesions, or metabolic derangements. Maintaining a broad differential diagnosis is essential to prevent premature closure of the diagnostic evaluation. Timing of neurologic imaging and electroencephalogram depends on the clinical situation. In this case, a young woman presents with a "new-onset" seizure with subsequent elevation of white blood cells and serum lactate levels. Neurologic imaging identified a large dermoid cyst in the frontal lobe. We review how seizures can elevate the serum lactate distinguishing a general tonic-clonic seizure from pseudoseizures and how dermoid cysts can be implicated in seizures.
Texto completo:
1
Coleções:
01-internacional
Temas:
Geral
/
Tipos_de_cancer
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Outros_tipos
Base de dados:
MEDLINE
Assunto principal:
Convulsões
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Encefalopatias
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Cistos
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Serviço Hospitalar de Emergência
Tipo de estudo:
Diagnostic_studies
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Prognostic_studies
Limite:
Adult
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Female
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Humans
Idioma:
En
Revista:
Adv Emerg Nurs J
Assunto da revista:
ENFERMAGEM
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MEDICINA DE EMERGENCIA
Ano de publicação:
2018
Tipo de documento:
Article