Neurology
Computerized tomography (CT) of the brain without contrast on both
admissions were negative for acute intracranial pathology. The
ventricles and sulci were normal and symmetric bilaterally and there was
no evidence of hemorrhage, infarction, or mass ruling out stroke or
tumor. There were no signs of cerebral edema ruling out PRES. VEEG
monitoring was performed for several continuous days during both
admissions and was inconclusive. There were no asymmetries, no seizures,
no epileptiform abnormalities, and no periodic patterns. There was mixed
frequency slowing but the neurology team suspected this to be from
sedation as the patient remained intubated and on mechanical
ventilation. Neurology ultimately found no clear etiology for his
seizures ruling out epilepsy. MRI was not obtained during either of his
admissions.