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This case study examines a 17-year-old male patient who has maintained excellent control of his generalized tonic-clonic seizures with antiepileptic medications for three years. Despite this control, recent EEG findings indicate abnormal patterns consistent with generalized seizures, while a cranial CT scan remains normal. The evaluation highlights missing data points that could provide insight into the patient’s condition, such as initial presentation, family history, and potential precipitating factors. The findings emphasize the complexity of managing epilepsy in young patients.
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A 17 year-old male had an excellent antiepileptic drug control of his generalized tonic-clonic seizures for the past 3 years. Work up done showed an abnormal EEG patterns consistent with generalized type of seizures and a normal cranial CT scan.
Missing Data • Initial presentation of the patient when diagnosis was established • Family history • History of trauma, loss of consciousness, severe headache • Precipitating factors • Fever, stress, fatigue, sleep deprivation, drug abuse, alcohol • Prodromal symptoms • mood changes, sleep disturbances, lightheadedness, anxiety, irritability, difficulty concentrating • Compliance to anti-epileptic medications • Frequency, duration and presentation of the patient during the recent attack
Salient Features • 17 year-old • male • 3 year history of generalized tonic-clonic seizures- controlled • abnormal EEG patterns consistent with generalized type of seizures • normal cranial CT scan
Clinical Impression Generalized tonic-clonic seizures
