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Pediatric emergency care · Sep 2013
Case ReportsStepping outside the box: an adolescent with a new-onset seizure.
- Christopher M Howell, Matthew S Davis, and Deborah L Callanan.
- From the *Joint Army and Air Force Emergency Medicine Physician Assistant Doctoral Program, San Antonio Military Medical Center; and †Children's Hospital of San Antonio, San Antonio, TX.
- Pediatr Emerg Care. 2013 Sep 1;29(9):1011-2.
AbstractFirst-time seizures are frightening to children and their families, but the practice parameter recommends minimal evaluation in the emergency department (ED) for the child who presents in a neurologically normal state. We report a 12-year-old girl with seizure whose evaluation in the ED included a computed tomographic scan, largely because of parental anxiety. Computed tomography demonstrated a cerebral cavernous hemangioma or cavernoma. Because of the high recurrence risk of seizures with cavernomas, she was discharged from the ED with a prescription for an antiepileptic drug.
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