I have an 80-year-old diabetic male patient. He was undergoing treatment for an upper respiratory tract infection with loratadine/pseudoephedrine (10/240 mg) and paracetamol/caffeine (500/65 mg). As per his family, loud snoring and bed wetting was common. He was brought in an altered conscious state when he woke up slightly disoriented and fell from the bed. However, no trauma was observed. He experienced a 3-minute-long tonic-clonic seizure in the hospital waiting room.
Normal vitals. Blood work normal except for mild anemia. ECG, EEG and CT normal. T2 MRI revealed white matter hyperintensities characteristic of small vessel ischemic changes. Suggestions on how to proceed?