AI Article Synopsis

  • Pulmonary embolism (PE) is a critical medical emergency that can present in unusual ways, such as through seizures, which is extremely rare.
  • In a case report, a 47-year-old woman experienced a seizure following a major surgery for uterine fibroids, despite having no prior history of seizures or heart issues.
  • Tests showed elevated D-Dimers and an echocardiogram suggested PE, which was then confirmed by a CT angiogram displaying bilateral saddle pulmonary embolism, highlighting the need for clinicians to consider PE as a potential cause for unexplained seizures.

Article Abstract

Pulmonary embolism is a life-threatening emergency. Seizure as the clinical presentation of pulmonary embolism is extremely rare. In this case report a 47-year-old female had an episode of seizure after undergoing total abdominal hysterectomy with bilateral salpingo-oophorectomy due to myometrial uterine fibroids. The patient had no past history of seizure or cardiovascular disease. Based on raised D-Dimers and echocardiography a provisional diagnosis of pulmonary embolism was made, which was confirmed on CT angiogram that showed bilateral saddle pulmonary embolism. Clinicians need to be aware that Pulmonary embolism is a possibility as the differential diagnosis for unexplained, new-onset of seizure activity.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11255821PMC
http://dx.doi.org/10.12669/pjms.40.7.9426DOI Listing

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