But we faxed him the ECG, which was really quite convincing, and the cardiologist came in reluctantly, and somewhat dubiously took the patient to the cath lab. Sure enough, the patient had a high-grade obstruction of his LAD, and upon opening it, that patient's ECG returned to normal. The next morning on rounds, the patient thanked the cardiologist for saving his life, and ventured that he didn't want to seem ungrateful, but the elves were still bothering him, and could he please do something about that? Psychiatry saw the patient and concluded that he wasn't crazy. So the neurologist was called in and noticed an odd motor tic every time the patient looked at the elves, who were always sitting to his left. The neurologist speculated that the hallucinations might be a form of a partial complex seizure, so he started the patient on an IV drip of dilantin, an anti-seizure medicine.
And the Elves went away.
So there you have it: Acute Anterior Myocardial Infarction presenting with Partial Complex Seizures manifested as hallucinations of Christmas Elves.And that, ladies and gentlemen, is the weirdest damn thing I have ever seen.
Originally Published 17 July 2007