28 yr old male mutton butcher by occupation came with c/o 3 episodes of seizures in one day
A 28 yr old mutton butcher by occupation came to casualty with complaints of seizures 3 episodes in one day . Patient was apparently asymptomatic 1 day ago and then he suddenly developed seizures in the morning at 10am when he went to work . Then he was brought to home Second episode while he woke up from the sleep at 2pm . Third episode when he went to bring curd from the market he got seizures and he fell down on a stone and injured his parietal region of scalp and facial asymmetry .loss of consciousness regained consciousness after 30 mins in each episode. H/O post ictal confusion present h/o tongue bite . No h/o frothing . The laceration of length 4cm x 1cm was sutured at an outside hospital . Swelling over the left cheek measuring 3cm x 2cm , Tenderness Past history : Patient consumed mono poisoning 11/2 yr ago and got intubated in our hospital . He consumed mono due to family issues and conflicts with his mother. 1yr ago he fell from bike and sustained minor injuries an
