Ping-Pong Gaze in a Postictal State

A previously healthy, 17-month-old boy was brought to the emergency department following a generalized tonic-clonic seizure accompanied by fever. The seizure continued for 9  minutes but had spontaneously resolved before the patient's arrival at the hospital. However, the patient continued to display an altered mental status. On arrival, his Glasgow coma scale was 7 (E1V2M4), and his respiratory rate was 30 breaths per minute. His breathing pattern was normal. His body temperature, pulse rate, blood pressure, and oxygen saturation were 40.0°C, 190 beats per minute, 127/88 mm Hg, and 100% with supplemental oxygen by a simple mask, respectively.
Source: The Journal of Pediatrics - Category: Pediatrics Authors: Tags: Rediscovering the Physical Exam Source Type: research