ABSTRACT

A 48-year-old man collapsed in the street and had what eyewitnesses confirmed to be a tonic-clonic seizure. He was admitted to hospital for further monitoring. He has never had a seizure before and has been otherwise well recently. He admitted to drinking a 75 cL bottle of vodka (30 units) daily but has been trying to cut down recently and has not had any alcohol for the past 48 hours. He initially seemed alert and orientated on arrival at hospital, but on the ward the nurses noted that he was agitated. A CT head scan was normal. The following morning he appears unwell and has vomited several times.