INVESTIGATIONS AND DIFFERENTIAL DIAGNOSIS
Initial differential diagnosis for the patient’s new onset seizures
included hemorrhagic stroke, ischemic stroke, new onset epilepsy,
metabolic encephalopathy, hypertensive encephalopathy, hepatic
encephalopathy, hypertensive emergency, acute drug/alcohol intoxication,
and PRES. The medical work up of both seizure admissions was combined in
the following sections for simplicity.