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Post-traumatic seizure with an unexpected finding
  1. Christine Brittain,
  2. Gautam Ambegaonkar
  1. Department of Paediatric Neurology, Child Development Centre, Addenbrooke’s Hospital, Cambridge, UK
  1. Correspondence to Dr Christine Brittain, Department of Paediatric Neurology, Child Development Centre, Addenbrookes Hospital, Box 107, Cambridge CB2 0QQ,UK; cbrittain{at}

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A 5-year-old boy of non-consanguineous Indian descent presented to the emergency department (ED) following a prolonged seizure, preceded by a minor head injury from a low-level unwitnessed fall. The seizure was described as focal with head and neck version to the right. There was urinary and faecal incontinence and foaming at the mouth. The seizure lasted for 30 min, following which the child made a rapid recovery and had no neurological deficit when examined in the ED. His initial observations were unremarkable, with him being afebrile, normotensive and having a blood sugar of 4.6 mmol/L.

Question 1

Which imaging modality, if any, should be performed?

Question 2

Initial imaging showed two parenchymal lesions, one within the left frontal lobe and the other in …

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