DOI: 10.36347/sjmcr.2018.v06i09.029

Pages: 713-714

A 44-year-old woman suffered from tonic-clonic seizures while eating lunch. She had chronic renal failure due to acute glomerular nephritis, idiopathic thrombocytopenic purpura, hypertension and glaucoma. On arrival at the hospital, she had clear consciousness and peripheral oxygen saturation of 96% under 2 L/minute of oxygen through a nasal cannula. Chest X-ray, electrocardiogram and cardiac echo findings were negative. However, whole-body computed tomography (CT) showed a sporadic, patchy ground-glass appearance, suggesting pulmonary edema. She received a diagnosis of convulsion with neurologic lung edema and underwent observational admission with 2 L/minute of oxygen. On the second day, she had no complaints, and her peripheral oxygen saturation increased to 99% without oxygen therapy. On the third day, chest CT demonstrated almost clear lung fields. We herein report a rare case of pulmonary edema induced by seizures and discuss the complexity of the mechanisms underlying pulmonary edema induced by seizures.