Author: Sagir Bera, DO, MPH, MS
Co Author #1: Holly McNulty, MD
Editor: Isaac Syrop, MD
An 18-year-old patient was warming-up for a volleyball tournament when she was hit in the forehead by a volleyball. She had an immediate headache with photophobia, phonophobia, weakness, nausea, and dizziness. As the patient was escorted back to the training room she dropped to the floor and began having tonic-clonic movements. Rizatriptan was administered with resolution of convulsions within twenty minutes. Patient had no post-ictal state and remembered the entirety of events. She was immediately symptom free and remained symptom free.
Prior concussion x 2
Unremarkable general exam. Neurologic exam unremarkable, including normal mental status, cognition, cranial nerves, motor strength, reflexes, coordination, gait, balance, and sensory exam.
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