• Emerg Med J · Apr 2009

    Case Reports

    Acute pulmonary embolism presenting as seizures.

    • A K Shah and M Darwent.
    • Department of Emergency Medicine, John Radcliffe Hospital, Headington, Oxford, UK. as329@hotmail.com
    • Emerg Med J. 2009 Apr 1;26(4):299-300.

    AbstractPulmonary embolism (PE) is a common and potentially fatal condition. The case is presented of a young woman who presented to the emergency department with first-time seizures. On further investigation and corroborated by post-mortem findings, this was found to be a manifestation of PE. The purpose of this report is to highlight to the clinical community that PE can present in a varied fashion and that, because of this, its diagnosis can occasionally be delayed. Vigilance is advised and expert clinical acumen is needed in young non-smoking persons with previously normal respiratory physiology who present with signs and symptoms of respiratory compromise, irrespective of the predominant or masking presentation.

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