title: Stepping outside the box: an adolescent with a new-onset seizure.
abstract: First-time seizures are frightening to children and their families, but the practice parameter recommends minimal evaluation in the emergency department (ED) for the child who presents in a neurologically normal state. We report a 12-year-old girl with seizure whose evaluation in the ED included a computed tomographic scan, largely because of parental anxiety. Computed tomography demonstrated a cerebral cavernous hemangioma or cavernoma. Because of the high recurrence risk of seizures with cavernomas, she was discharged from the ED with a prescription for an antiepileptic drug.
authors.affiliation: From the *Joint Army and Air Force Emergency Medicine Physician Assistant Doctoral Program, San Antonio Military Medical Center; and †Children's Hospital of San Antonio, San Antonio, TX.
authors.forename: Christopher M
authors.initials: CM
authors.lastname: Howell
authors.forename: Matthew S
authors.initials: MS
authors.lastname: Davis
authors.forename: Deborah L
authors.initials: DL
authors.lastname: Callanan
mesh_terms: D000927:Anticonvulsants / Q000627:therapeutic use; D001933:Brain Stem / Q000098:blood supply; D002543:Cerebral Hemorrhage / Q000175:diagnosis; D002648:Child; D003937:Diagnosis, Differential; D004198:Disease Susceptibility; D042241:Early Diagnosis; D004630:Emergencies; D004828:Epilepsies, Partial / Q000188:drug therapy / Q000209:etiology; D005192:Family Health; D005260:Female; D020786:Hemangioma, Cavernous, Central Nervous System / Q000150:complications / Q000000981:diagnostic imaging* / Q000208:ethnology; D006801:Humans; D008800:Mexico / Q000208:ethnology; D010290:Parents / Q000523:psychology; D010296:Parietal Lobe / Q000098:blood supply / Q000000981:diagnostic imaging*; D017410:Practice Guidelines as Topic; D012307:Risk Factors; D012640:Seizures / Q000209:etiology*; D014057:Tomography, X-Ray Computed
chemical_list: D000927:Anticonvulsants