I had an ambulance call this weekend for a patient who would not quit seizing. She’d have a about a minute long grand mal, stop briefly, have one or 2 smaller seizures, stop for a minute or so, and repeate on about a 5 or 6 minute cycle. She came off the stretcher twice, and this continued for most of the half-hour trip to the hospital.
I was taught that with true epilepsy you’d have one big seizure, maybe a smaller aftershock seizure, and be done; repeated seizures were indicitive of something else such as a tumor or recreational pharmacuetical use. The patient had no known history of epilepsy, and the scene was at a large party, so there’s a chance recreation was involved. If this was caused by drug use, which ones are likely to trigger such an episode?
Disclaimers: I’m asking for idle speculation, not a diagnosis. I will not add any more details for fear of HIPAA violation. Offer void where prohibited.