What are some differential diagnoses for a 63-year-old African American female with a past medical history of epilepsy presented to the emergency department brought in by family who reports altered mental status after epileptic seizure approximately 2 hours prior to arrival? The patient's daughter reports the patient is typically drowsy but oriented during postictal phase. Family states that the patient was unable to identify her granddaughter which prompted concern. The patient lives with her daughter who acknowledges compliance with medications. Upon arrival, she is awake and alert but does not follow commands. The daughter reports right-sided weakness as baseline neuro deficits from previous CVA several years ago. She also reports that the patient typically requires minimal assistance with ADLs and ambulates with a walker.
a) Hypoglycemia
b) Stroke
c) Postictal State
d) All of the above
