Case presentation A 53-year-old man presents to the OPD complaining of frequent seizures and asks for evaluation and prescription for the same. Parameter Details Age 53 years Gender Male History · History of chronic sinus drainage, for which the patient has taken over-the-counter decongestants · Has eczema and has taken prescription creams when it flairs up · No prior history of trauma or cerebrovascular disease, or seizures.

· History of drug abuse Physical examination · Appears well nourished · No acute distress · Cardiac, respiratory, and abdominal examinations are all normal ·  Occasional facial and eyelid twitching · Neurological examination, including cranial nerve examination, were normal · Negative Romberg test Social history The patient is a divorcee and a mid-level executive in a small company for the past 17 years. His son has accompanied him on this visit to the outpatient…