To cite: Amin OSM. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013009845 DESCRIPTION An 11-year-old girl was admitted to our acute and emergency department with a 12-h history of confusion and non-responsiveness. There was no fever or neck stiffness. The parents denied any history of head trauma. She was diagnosed with grand mal epilepsy at the age of 7 years...