Case 1-1998

Presentation of Case An 11-year-old right-handed boy was admitted to the hospital because of a seizure. The child had been well until the day of admission, when he stood up and fell, striking his head on a desk. He became unconscious, with arms extended and pronated, and had a right focal motor seizure that became generalized and lasted 20 minutes. There was no contusion, rash, or lymphadenopathy. Emergency medical technicians found him confused, combative, and unresponsive to verbal stimuli. He was brought to this hospital. The boy's mother stated that he had developed normally without any serious illnesses. An adult . . .