Case Presentation A previously healthy seven-year-old boy presented to the Emergency Department (ED) with a generalized tonic-clonic seizure lasting approximately 30 minutes during sleep. According to his caregiver, the episode was associated with a fixed right-sided gaze.
He had a two-day history of low-grade tactile fever, rhinorrhea, and vomiting, but no headache, neck stiffness, visual disturbances, or rash. Medical History Prior ED visit two months earlier for a spontaneous, non-traumatic central headache associated with one episode of vomiting Tympanic temperature: 37.3°C during prior visit The headache improved significantly with ibuprofen and paracetamol, and he was subsequently discharged Initial Examination & Emergency Management Glasgow Coma Scale (GCS): 8 (E1V2M5) Blood pressure: 168/127 mmHg (above the 99th percentile for age, sex, and height, per AAP guidelines) Heart…
