A 21-year-old female presents with a history of recurrent episodes of unconsciousness characterized by teeth clenching and bladder incontinence, with no recollection of the events over the past two years. Initially, she was prescribed levetiracetam and responded positively. However, during the latest episode, her husband captured a video of the event, suggesting a functional or hysterical component. The patient image and video are shown below with the patient's consent. Despite this, she experienced bladder incontinence and still has no memory of the events. What is your opinion on this case?

  • #general medicine
  • #neurology

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Dr. Amit Kumar Rai

Dr. Amit Kumar Rai

Physician

· Palghar

BP ? Check her BP and c3,c4 ,urine for protienuria ,problem preclampsia.give inj Mgso4 6gm stat then 4gm in alternate buttocks..

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