Example of gradual increase of sz

• Day 1 pt was conscious, reactive to verbal and physical stim. Occasionally during the cEEG hook up pt would have similar absence sz events when he has sz discharges. Overall, Totally normal and mobile then increasingly declined in mental state as days passed.

• Day 7: Pt is intubated w hep c and cirrhosis found down w/ hypoxemia and pneumonia. 2 GTC while admitted to ED. Frequent generalized sz despite increasing keppra, onfi, vimpat, fentanyl and propofol wean

• Neuro crit care was informed to put pt back on prop before pt reached full SE

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