A 23-year-old man was found at a train station with convulsions. He was treated with benzodiazepines in the field and transferred to the nearest emergency department, where he was intubated. This episode had been preceded by a 2-week history of headaches, nausea, confusion, and staring spells that precluded the patient from going to work. His mother also noted that his eye started to appear "droopy" several days prior to presentation. She stated that he had no recent travel, sick contacts, or tick or insect bites. He was recently prescribed and had been taking acetaminophen/butalbital/caffeine for symptomatic relief of his headaches but was not taking any other medications. He was admitted to an outside hospital and subsequently transferred to our facility.
from Neurology recent issues http://bit.ly/2XVDwT0
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