A returning traveller with epilepsy

A 35 year old vegetarian Indian woman who had been living in the UK for three years presented in the emergency department with a first episode of seizure after a trip to India. She had undergone total thyroidectomy for toxic nodular goitre in the UK earlier in the year and was taking calcium supplements. She had experienced vague abdominal discomfort two weeks before the seizure. The patient’s grandmother, whom the patient visited during her trip to India, had experienced delirium, dizziness, and headaches two months before the patient’s visit. These symptoms self resolved and were not investigated. In addition, the patient’s husband also experienced vague abdominal discomfort similar to the patient’s, two weeks before she presented. The woman had a magnetic …