Meyer Michael Andrew
University at Buffalo, Depts. Neurology, and Nuclear Medicine, United States.
Seizure. 2009 Jan;18(1):76-8. doi: 10.1016/j.seizure.2008.06.008. Epub 2008 Jul 25.
A 50-year-old male with sudden syncope and witnessed seizure activity was discovered to have pulmonary emboli. Although he denied shortness of breath, d-dimer testing was positive and a ventilation-perfusion scan was positive for bilateral pulmonary emboli; cardiac ECHO also confirmed elevated right ventricular pressures. The literature on this unusual presentation for seizures as the initial manifestation of pulmonary embolism is reviewed. Clinicians need to be more aware that pulmonary embolism is important to consider within the differential diagnosis for unexplained new onset of seizure activity.
一名50岁男性，出现突发晕厥且有癫痫发作表现，被发现患有肺栓塞。尽管他否认气短，但D-二聚体检测呈阳性，通气-灌注扫描显示双侧肺栓塞阳性；心脏超声也证实右心室压力升高。本文回顾了以癫痫发作为肺栓塞初始表现的这一不寻常病例的相关文献。临床医生需要更加意识到，在不明原因新发癫痫发作的鉴别诊断中，肺栓塞是一个重要的需要考虑的因素。
