Is it normal that patient can take up to 24 hours to begin to feel better after a post-stroke seizure? This patient is in Africa and is unable to get to a hospital to do further testing. He seemed to be getting better and we thought we would be able to move him, but he had a seizure 24 hours ago and until now is delirious and seems to be in pain.
Hi, if he is continuing to have symptoms then it could be that there is ongoing insult to the brain. This could be due to hemorrhage or edema. The seizure is a consequence to this insult. The delirium could also be due the medications he is taking. It could also be due to alcohol withdrawal, difficult to say what exactly the cause is. He will need investigations like CT scan to detect the cause. Please discuss with his treating doctor. Regards.
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