A 5-year-old girl was presented to the emergency department (ED) after having a presumed seizure. She was playing in the schoolyard when she suddenly lost consciousness and developed generalized tonic-clonic movements of the upper and lower extremities for approximately five minutes. She was brought to the ED by an ambulance in a postictal state. In the ED, she developed a two-minute episode of right-sided tonic-clonic movements of the upper and lower extremities with eyes deviating to the left. She had urinary incontinence.
There were no associated symptoms of fever, cough, or upper respiratory illness. Medical history Medical history was significant for appendectomy that was performed six months back. The pathological report described a slightly inflamed appendix. Her subsequent visits to the ED for abdominal pain and fever concluded with the diagnosis of a viral syndrome. Examination…
