This case report highlights that pulmonary emboli can present with atypical symptoms such as seizures and be associated with diagnostic physical findings like pulmonary artery stenosis murmurs.
Alerts clinicians to seizures as possible pulmonary emboli presentation; leaves open broader diagnostic role of angiocardiography pending further evidence.
Despite an ever increasing volume of literature on the subject, the diagnosis of pulmonary embolism is often difficult.1-3Awareness of recurrent pulmonary embolism in the chronically ill bedridden patient has increased, but recurrent pulmonary embolism in apparently healthy patients has stirred much interest in recent years.4-6Moreover, as more refined techniques, such as pulmonary arteriography and radioisotope scanning,7have been developed to establish the diagnosis, the varied clinical manifestations of pulmonary emboli have become more apparent. The present case report concerns a woman with seizures, which accompanied multiple pulmonary emboli. She also displayed a recently described diagnostic physical finding of pulmonary arterial emboli.8Angiocardiograms documented the existence and resolution of her pulmonary emboli. Patient Summary A 52-year-old Negro woman (PSLH 1035084) developed increasingly severe exertional dyspnea during the two weeks preceding hospitalization. She lost consciousness suddenly for several minutes and was brought to the hospital. Immediately upon arrival, she had
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Bruce S. Chertow (1968) studied this question.
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