5:38:00 PM
Dr Subhash Kumar, MBBS, MD, DM
10 years/f was asymptomatic 2 ½ yrs back when she started to get recurrent right partial seizure with secondary generalisations, more prominent in right lower limb.
Initially seizure frequency was 1-2 per month but it gradually increased to continuous tonic-clonic movement of right LL & UL.
There was also h/o weakness in right lower limb followng these seizures
No h/o weakness in right UL.
No h/o cognitive-visual hearing impairment.
No history of febrile seizures, head injury or febrile encephalopathy
EXAMINATION
Pulse-84/m; BP-100/76 mm Hg; Chest-NAD; CVS-NAD; ABDOMEN-NAD
NERVOUS SYSTEM
Higher mental function-conscious, oriented
Cranial nerve- Normal
Motor-RT UL 5/5, RT LL ankle 4/5 rest...
