ABSTRACT
A 35-year-old woman was brought to hospital by ambulance following a witnessed tonic–clonic seizure. She had been walking with a friend and had apparently become confused and disorientated, speaking nonsensical statements, prior to collapsing and having a seizure. There was no tongue biting or incontinence. Her Glasgow Coma Scale (GCS) score was 11/15 when she first arrived to the emergency department. She had a further tonic–clonic seizure shortly after her arrival, which terminated following administration of diazepam. Her friend said that she had no known past medical or drug history. She worked as a care assistant and was originally from Sierra Leone origin. She lived with her two school-aged children. No further history was available.
