In article <01bd4565$b51e09a0$LocalHost@default>, Patrick Pearson
<[log in to unmask]> writes
>BTW In my spare time I help out at our local rugby club Sutton & Epsom RFC
>and one of our lads had a bang on his temporal region today and promptly had
>a grand mal fit even though he did not lose consciousness. Normal CAT scan
>and no amnesia but +ve FH of epilepsy. His mum is obviously very upset. I
>have advised a three week lay off as suggested by the authorities but am a
>little perplexed as to why he should have fitted. Any brainwaves?
I *thought* that a diagnosis of true Grand Mal could only be made if
there *is* loss of consciousness. I would hesitate to diagnose without
an EEG.. did he get one? If he has had a Tonic/clonic convulsion the
differential diagnosis, as far as I can remember, includes hysterical
fitting, but there must be a neurologist on the list somewhere....
--
Chris Pearson
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