Massive pulmonary embolism presenting as seizures

Shahrukh Hashmani, Aga Khan University
Fateh Ali Tipoo Sultan, Aga Khan University
Murtaza Kazmi, Aga Khan University
Amammarah Yasmeen, Aga Khan University



Pulmonary embolism can present in various ways, though seizure activity has been rarely reported. We report a 38 years old male who had met a road traffic accident, underwent surgery, presented a month later with seizures, chest pain, shortness of breath and low blood pressure. Massive pulmonary embolism was diagnosed on CTPA, with classical features on ECG and echocardiogram and the patient was successfully managed with thrombolysis. Massive pulmonary embolism (MPE) should be kept in mind in patients who present with seizures, chest pain and haemodynamic instability