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Status epilepticus in accident and emergency: a difficult case
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  • John Ryan
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    Dear Editor

    It seems that the authors of this paper were surprised to find such an elevated phenytoin level. A few questions sprung to mind:

    1) Did they repeat the level ?
    2) Are they sure this level was before the phosphenytoin was commenced?
    3) Was the patient symptomatic of phenytoin toxicity prior to being found seizing? One would have suspected ataxia and nystagmus e...

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    Conflict of Interest:
    None declared.