Correct!
4. 1 and 3
The first question is whether the patient had a seizure or a nonepileptic event that mimics a seizure (1). Neonatal ICU nurses are reliable in recognizing a seizure and there was no apparent provoking cause such as head trauma. New onset seizures in an adult is worrisome because it might indicate an underlying lesion such as a tumor or in this case a possible hemorrhage given the previous history of a cerebral aneurysm. The patient appears stable and there is no indication for seizure prophylaxis at this time. Metabolic screening for uremia, hypoglycemia, drug intoxications, and electrolyte disorders should be performed. In this patient's case, the metabolic screening was unremarkable.
The head CT scan was performed and no hemorrhage or other lesion was identified.
What should be done next? (Click on the correct answer to procced to the third of seven panels)