Unexplained seizure after trauma

Patient

Q: 30 year old man presented to ER by his brother after he has been involved in a street fight. The brother stated that the victim has been stabbed several times in the chest by a sharp metal and he bled a lot. In ER, the victim was drowsy, covered in blood with labored breathing. He was immediately put under critical care, and the surgical team arrived. He was transfused with 5 units of PRBC, and bilateral chest tubes were inserted because the CXR showed bilateral huge hemothorax. The patient was stabilized on mechanical ventilation and was taken to ICU. That night, and about 15 hours after the event, he suddenly started seizing. The ICU tean rushed to him and was given one dose of diazepam. The lab results then showed:
Hgb: 9.1
wbc: 22x10 3
Plt: 210x10 3
Normal differential
pH: 7.36
pCO2: 45
HCO3: 23
O2sat. : 99%
BUN: 15
Cr: 0.8
Na: 121
K: 4.1
Cl: 91
Normal bleeding profile

What is the explaination for this case

Symptoms:  Haemothorax, seizure
Doctor

A:   This question is currently in queue and will be answered shortly by one of our doctors. In the meantime you may browse our library of answered questions by clicking here.

Related Q&A

Q: My father had a series of strokes and is bleeding on both sides of the brain. He is somewhat aware but cant talk or ...

Q: My mom is 77 years old. She is 130 pounds and 5 ft 2 ins tall. She leads an active life. She is on medication for ...

Q: I was wondering if you'd be able to tell if it is more likely that my grandfather suffered from a seizure or stroke? ...

Q: Did what happened to me in my symptoms mean I had a stroke or a migraine headache?

Q: I had a stroke in May 2015. I have multiple issues. 1: my hand "fell asleep" and is not improving as is the...

 
DOCTOR ADVISORY BOARD
218

Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician
173

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician
138

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist
98

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon
CNN
BBC
MSNBC
CBS
abcNews
FoxNews