Clinical Case Database / Category: Case Based Discussion

Generalised convulsive status epilepticus

Publication details

Rhys Thomas MBChB BSc MRCP
Foundation Years Journal, volume 2, issue 1, p.40 (123Doc Education, London, January 2008)


A 48 year old man is brought to A&E by his partner. You are on call for medicine and have been asked to see him. He had his first fit earlier today and now has had a second seizure whilst waiting to see you which has not stopped by itself. The Sister in A&E asks whether you could please see him immediately. On examination there are brisk jerking movements of both arms and legs with accompanying loss of consciousness. He is apyrexial and is not known to have previously had seizures. What do you do?

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Rhys Thomas MBChB BSc MRCP (Corresponding author)

Speciality Registrar
Neuro-Rehabilitation Unit
Rookwood Hospital


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