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- Publisher
- Wolters Kluwer Health
- Copyright
- © 2018 Wolters Kluwer Health, Inc. All rights reserved.
- ISSN
- 1931-4485
- eISSN
- 1931-4493
- DOI
- 10.1097/TME.0000000000000217
- Publisher site
- See Article on Publisher Site
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.
Journal
Advanced Emergency Nursing Journal – Wolters Kluwer Health
Published: Oct 1, 2018