Pulmonary thromboembolism presenting as epileptiform generalized seizure.
A 69-year-old patient with a new-onset generalized epileptiform tonic-clonic seizure was successfully diagnosed with pulmonary thromboembolism in the prehospital setting even though the clinical picture suggested an unknown, primarily neurological, problem. Prehospital diagnostic procedures also included capnometry and D-dimer assay. The former showed lower than normal end-tidal carbon dioxide pressure values, and a value of the latter proved to be highly pathological. In the intensive care unit the diagnosis of massive pulmonary thromboembolism was confirmed.
Kupnik
Dejan
D
The Center for Emergency Medicine Maribor, Prehospital Unit, Ulica Talcev 9, 2000 Maribor, Slovenia. dejan.kupnik@kksonline.com
Grmec
Stefek
S
D000368:Aged; D004827:Epilepsy / Q000209:etiology*; D005338:Fibrin Fibrinogen Degradation Products; D006801:Humans; D007022:Hypotension / Q000150:complications; D008297:Male; D011655:Pulmonary Embolism / Q000150:complications* / Q000175:diagnosis
D005338:Fibrin Fibrinogen Degradation Products; C036309:fibrin fragment D