Eur J Emerg Med. 2004 Dec;11(6):346-7.

Pulmonary thromboembolism presenting as epileptiform generalized seizure.

Source

The Center for Emergency Medicine Maribor, Prehospital Unit, Ulica Talcev 9, 2000 Maribor, Slovenia. dejan.kupnik@kksonline.com

Abstract

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.

PMID:: 15542993; [PubMed - indexed for MEDLINE]

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