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A correction has been published: N Engl J Med 1998;338(7):483.

Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 338:112-119 January 8, 1998 Number 2
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Case 1-1998— An 11-Year-Old Boy with a Seizure
James J. Riviello, and Kathryn L. Ruoff

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Presentation of Case

An 11-year-old right-handed boy was admitted to the hospital because of a seizure.

The child had been well until the day of admission, when he stood up and fell, striking his head on a desk. He became unconscious, with arms extended and pronated, and had a right focal motor seizure that became generalized and lasted 20 minutes. There was no contusion, rash, or lymphadenopathy. Emergency medical technicians found him confused, combative, and unresponsive to verbal stimuli. He was brought to this hospital.

The boy's mother stated that he had developed normally without any serious illnesses. An adult brother had died . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. James J. Riviello, Jr.'s, Diagnosis

Pathological Discussion

Laboratory Diagnosis

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