• Eur J Emerg Med · Dec 2004

    Case Reports

    Pulmonary thromboembolism presenting as epileptiform generalized seizure.

    • Dejan Kupnik and Stefek Grmec.
    • The Center for Emergency Medicine Maribor, Prehospital Unit, Ulica Talcev 9, 2000 Maribor, Slovenia. dejan.kupnik@kksonline.com
    • Eur J Emerg Med. 2004 Dec 1; 11 (6): 346-7.

    AbstractA 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.

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