A rare presentation of pulmonary thromboembolism as seizure.
Toktam AlirezaeiSeyedehFatemeh MousaviHamed HesamiPublished in: Archive of clinical cases (2022)
Acute pulmonary thromboembolism is a critical and sometimes fatal event that is difficult for clinicians to diagnose because of its various initial manifestations. Here, we report a previously healthy 50-year-old man without any history of seizures who presented to the emergency ward with the new-onset seizure. Neurology consult was performed, but found no focal neurological deficits. The diagnosis of massive pulmonary embolism was confirmed by echocardiography and pulmonary CT angiography. Alteplase and heparin with therapeutic dosage were started for the patient. After initiating treatment, patient's dyspnea, arterial O2 saturation, and general condition were significantly improved. Echocardiography was repeated and showed a smaller right ventricle size and lower pulmonary artery pressure than the first echocardiography.
Keyphrases
- pulmonary hypertension
- pulmonary artery
- pulmonary embolism
- pulmonary arterial hypertension
- case report
- inferior vena cava
- liver failure
- public health
- emergency department
- healthcare
- temporal lobe epilepsy
- computed tomography
- palliative care
- coronary artery
- left ventricular
- venous thromboembolism
- drug induced
- growth factor
- heart failure
- mitral valve
- acute ischemic stroke
- blood brain barrier
- smoking cessation