Ramiro drops his saxophone

Ramiro is 12, and two years ago he was messing around on his bike without a helmet, fell hitting the pavement and smashed his skull. He bled around his brain and required a hole to be drilled in his skull to relieve the pressure. He came out of the accident intact. But last Monday he lost consciousness and fell on the ground; and the same thing happened a few days earlier at school. No one witnessed the spells. Ramiro remembers something, though. He remembers coming home, opening the door, and then without wanting to, his saxophone dropped out of his right hand. A couple of seconds later, Ramiro loss consciousness and fell on the floor. That 2 second delay tells us something very important. He probably had a seizure, and the seizure probably started in his left parietal lobe, or perhaps the switching stations on the left side of the brain that coordinate movement of the right hand. Then, like power surge causing a blackout through the eastern United States on a hot summer day, the seizure activity spread across his brain causing him to lose consciousness. We will order tests and get him to a pediatric neurologist. A good history can be as good as all the technology. It's worth listening closely, even to children.