seizure

My mother in law stood up in church with a blank stare.  She later begin not to recognize anyone.  She loss use of her left side and her lips droop to the left. She could only respond with the word, Auh.  She was taken to the hospital by ambulance and and started having seizures in the ER.  Her blood glucose ranged from 459- 600.  It was 459 in the beginning and later 640 at the hospital.  The cat scan was negative.  The  spinal tap was done and it was negative.  She continue to have seizures continuously for at least 5 hours.   She was on depravan drip and  oral intubated prior to drip to support her airway.  What do you think could have caused this seizure and coma.  She started out on CMV mode on the vent due to being heavily sedated.  She is now breathing on her own in CPAP mode with a PS of 12.  Her blood glucose is 166. Her chemistry is normal except her k+ lvl 3.3.  Her ABG's are normal.  Please help.


This discussion is related to Stroke and seizure.

[DrNoopurMD]

Hi,

Thanks for writing in.
From your post it seems that your mother had a stroke. Stroke patients often suffer from seizures due to brain injury. The prognosis is generally not good for stroke patients who suffer from seizures because the occurrence of seizures usually indicates extensive brain injury.
http://www.medicalnewstoday.com/articles/108024.php
It is a good sign that she is breathing on her own. Please be patient as the recovery will depend upon the general well being of the patient and the location and extent of brain injury.