Case presentation A previously healthy 13-year-old boy with no history of chronic illness or seizures was brought to the emergency department following his first episode of a generalized tonic–clonic seizure. The event occurred at home during the early morning hours and lasted about two minutes.
During the episode, he became unresponsive with generalized limb rigidity, jaw clenching, and fixed gaze deviation, followed by post-ictal drowsiness. Past-week medical history Persistent frontal headache for one week Early-morning vomiting Associated dizziness Evaluated at multiple healthcare facilities Initially managed as gastritis, later treated as acute sinusitis Oral antibiotics and analgesics were prescribed No symptomatic improvement Afebrile throughout illness Events on the day of admission Sudden escalation in headache severity Pain extending to the occipital region Associated neck…
