40 year old male came with the c/o vomitings since 15 days and Shortness of breath since 10 days .He has h/o congenital seizure and restricted to being at home from childhood with fear of being seizure episode anytime .His brother informs he had episode of seizure soon after his birth later on ocassional episodes once every year or two .As brothers used to stay until age 20 and seperated after marrige . Patient wife informs the later on history . The patient inspite of being on medication did have episodes every 2-3 months .Patient had 3 episodes of seizures in this week his wife explains the episode as involuntary movement of upper and lower limbs with drooling of saliva, micturition ,each episode lasting for 1-2 min and had post ictal confusion for 15 - 30 min post seizure activity . Since the last two week patient c/o vomitings 2-3 episodes per day,non projectile contents being food particles . No H/o headache ,body pains , burning micturition . Patient also h...
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