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Psychomotor status epilepticus masking as a stroke.

An elderly patient with no history of seizure disorder or trauma was admitted to a county medical center in an unresponsive state. An initial diagnosis of cerebrovascular accident or postictal state was made. However, further evaluation including constant EEG monitoring revealed psychomotor status epilepticus, which was successfully controlled with anticonvulsants. The patient's dramatic improvement following treatment emphasizes the importance of rapid diagnosis and proper therapy for the most interesting condition.