Seizure (Generalized) — causing recent LOC

When to Suspect
  • Duration 20-90 seconds (maybe longer)
  • Tonic-clonic movements
  • Maybe Cyanosis
  • Maybe foaming at mouth, abnormal eye movements
  • Maybe tongue biting, incontinence
  • Gradual recovery to alertness, headache common (post-ictal phase)
Work-Up
  • MRI —  to R/O mass
  • EEG (sleep-deprived) — to confirm Dx
  • CBC, Chemistry panel
  • Neurology referral

See postings LOC-1 and LOC-2.