Year: 2023 | Month: October | Volume: 13 | Issue: 10 | Pages: 263-268
DOI: https://doi.org/10.52403/ijhsr.20231036
Seizures as Initial Presentation in a Patient with Post Traumatic Massive Pulmonary Embolism - A Rare Case Report
Dr. Ranjith Kumar K1, Dr. Durga Prasad Reddy2, Dr. Menaka3, Dr. Dhruva P V4
1Department of Emergency Medicine, Vydehi Institute of Medical Sciences & Research Centre, Bengaluru
2Department of Cardiothoracic & Vascular Surgery (CTVS), Vydehi Institute of Medical Sciences & Research Centre, Bengaluru
3Department of Intensive Care Medicine, Vydehi Institute of Medical Sciences & Research Centre, Bengaluru
4Department of Emergency Medicine, Vydehi Institute of Medical Sciences & Research Centre, Bengaluru
Corresponding Author: Dr. Ranjith Kumar K
ABSTRACT
Trauma-induced pulmonary thromboembolism is the second leading cause of death in severe trauma patients.1 Acute pulmonary embolism is a critical and sometimes fatal event that is difficult for clinicians to diagnose because of its wide variety of initial manifestations. The incidence of massive pulmonary embolism presenting as a seizure is <1%, but when it presents as a seizure the mortality is quite high. Hence, timely diagnosis and multidisciplinary approach in identifying and management of these cases can be lifesaving. We describe a rare presentation of a 40-year-old male with mild traumatic brain injury and pan facial fractures, who underwent surgical fixation for the same and developed seizures on post-operative day 11, despite being on thromboprophlyaxis, was diagnosed to have Massive Pulmonary Thromboembolism and managed with emergency Pulmonary thromboembolectomy with excellent post operative results.
Key words: massive pulmonary thromboembolism, seizures, post traumatic pulmonary embolism