ABSTRACT
A 32-year-old woman suffered a collapse while exercising at a gym. Her friends described the woman falling to the floor. This was followed by twitching of her arms and legs and then a period of being unrousable. The woman remembered nothing following her arrival at the gym, and was confused and drowsy for 10 minutes following the event. She has bitten her tongue but did not lose continence. She has no past medical history of note, takes no regular or recreational drugs, and there is no family history of seizures. She has an extensive travel history, having backpacked around Asia and trekked through Nepal where she stayed in hostels and ate street food five years ago. She describes being ‘completely fit and well’ prior to the event.
