# Seizures as the only presentation of Pulmonary Embolism in the absence of Respiratory Symptoms

## TL;DR

A 47-year-old woman had a seizure as the only symptom of a severe lung blood clot, highlighting the rare and unexpected presentation of pulmonary embolism.

## Contribution

This case report highlights the rare occurrence of pulmonary embolism presenting solely as a seizure without respiratory symptoms.

## Key findings

- A 47-year-old woman presented with a seizure as the only symptom of pulmonary embolism.
- Pulmonary embolism was confirmed via CT angiogram showing bilateral saddle embolism.
- The case emphasizes the need to consider pulmonary embolism in unexplained new-onset seizures.

## Abstract

Pulmonary embolism is a life-threatening emergency. Seizure as the clinical presentation of pulmonary embolism is extremely rare. In this case report a 47-year-old female had an episode of seizure after undergoing total abdominal hysterectomy with bilateral salpingo-oophorectomy due to myometrial uterine fibroids. The patient had no past history of seizure or cardiovascular disease. Based on raised D-Dimers and echocardiography a provisional diagnosis of pulmonary embolism was made, which was confirmed on CT angiogram that showed bilateral saddle pulmonary embolism. Clinicians need to be aware that Pulmonary embolism is a possibility as the differential diagnosis for unexplained, new-onset of seizure activity.