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A 67-year-old woman was admitted after having her first-ever epileptic seizure. Three days before, she started complaining of vertigo, gait disturbances and tension-type headache. Examination revealed obtundation, dysarthria and ataxia. Blood pressure was 300/123 mm Hg. Within 4 h, her consciousness deteriorated to deep coma. Brain MRI showed extensive vasogenic oedema with lesions in …
Competing interests None.
Patient consent obtained.
Provenance and peer review Not commissioned; internally peer reviewed.