Article type:
Case report
Article
title: Seizures
in idiopathic pulmonary arterial hypertension
Journal: International
Journal of Epilepsy
Year: 2019
Authors: Jamir Pitton Rissardo, Ana LetÃcia Fornari
Caprara
E-mail: jamirrissardo@gmail.com
ABSTRACT
Pulmonary arterial
hypertension (PAH) is a progressive pulmonary vasculopathy. A 29-year-old
female presenting with dyspnea and syncope within 6 hours of onset was admitted
to our hospital. The patient stated that she looked for a neurologist months
ago because she experienced abrupt shaking limbs occurring during physical activity.
She was diagnosed with focal seizure, and carbamazepine (CBZ) was started. On
admission, she reported that the dyspnea had started in the last week and recurrent
episodes of syncope in the last few hours. A right heart catheterization was diagnostic
of PAH. She was started on spironolactone, furosemide, sildenafil, warfarin, and
supplemental oxygen. On 10th admission day, the patient was seizure-free and the
dose of CBZ was tapered. In the follow-up, the patient remained seizure-free.
An investigation to search for chronic lung disease or hypoxemia, systemic
disorder, hematological disorder, and metabolic disorder was negative.
Keywords: Seizure, syncope, pulmonary hypertension
Full text
available at:
DOI
10.1055/s-0039-1688528
Citation
Rissardo JP,
Caprara AL. Seizures in idiopathic pulmonary arterial hypertension.
International Journal of Epilepsy 2018;5:107-9
