TREATMENT
Since an underlying cause of his seizures was not identified after thorough work-up, treatment focused on controlling the patient’s BP with medications and optimizing his volume status with dialysis continuing ESRD treatments. There was concern that he may have been missing BP medication doses at home resulting in large increases in BP and hence, was advised to continue losartan, carvedilol, clonidine, and minoxidil with the clonidine being in the form of a catapres patch. Given the unknown etiology of seizures, although most likely from hypertensive emergency and subsequent encephalopathy, the patient was discharged home on levetiracetam to help prevent future seizures.