Massive pulmonary embolism presenting as seizures.
Pulmonary embolism can present in various ways, though seizure activity has been rarely reported. We report a 38 years old male who had met a road traffic accident, underwent surgery, presented a month later with seizures, chest pain, shortness of breath and low blood pressure. Massive pulmonary embolism was diagnosed on CTPA, with classical features on ECG and echocardiogram and the patient was successfully managed with thrombolysis. Massive pulmonary embolism (MPE) should be kept in mind in patients who present with seizures, chest pain and haemodynamic instability.
Cardiology Resident Year II, Department of Medicine, AKUH, Karachi.
Shahrukh
S
Hashmani
Assosiate Professor, Cardiology Section, AKUH, Karachi.
Fateh Ali
FA
Tipoo Sultan
Aga Khan University Hospital, Aga Khan University Hospital, Karachi.
Murtaza
M
Kazmi
Pulmonology Resident Year I, Aga Khan University Hospital, Karachi.
Ammarah
A
Yasmeen
D000328:Adult; D002637:Chest Pain / Q000209:etiology; D004452:Echocardiography; D006801:Humans; D008297:Male; D011655:Pulmonary Embolism / Q000150:complications* / Q000175:diagnosis; D012640:Seizures / Q000209:etiology*
Case report, Massive pulmonary embolism, Seizure, Emergent thrombolysis, Chest pain.