A teenager I saw in follow-up from the ER has had 3
episodes of what was described as "seizure" activity
(slurred and incoherent speech, stumbling, no memory
of the events, post-ictal state). His workup in the
ER has been negative including head CT and EEG. His
family history is unknown - he's adopted. He admitted
to frequently playing the "choking game" at school
with his friends but none of these episodes occurred
while or after he was playing. He's promised to stop
playing this game but my quandry is whether to start
him on an anti-convulsant as these episodes occurred
with no relationship to playing these "choking games".
"A hundred years from now it will not matter what my bank account was,
the sort of house I lived in, of the kind of car I drove...
but the world may be different because
I was important in the life of a child"
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