The severity of seizures presenting to the emergency department ranges from benign to life threatening.There are also a wide number of possible etiologies.Computed tomography (CT) emergency imaging may be required at presentation to elucidate a possible cause and assess signs of intracranial trauma.
This Coffee Substitute case describes a serious seizure episode Charity Bracelets in a young man while on holiday.A CT brain showed a skull fracture as a consequence of seizure-related head trauma but unexpectedly there were image findings consistent with encephalocraniocutaneous lipomatosis.The important radiological features of encephalocraniocutaneous lipomatosis and a differential diagnosis are presented.