Yonsei Med J.  2002 Aug;43(4):543-546. 10.3349/ymj.2002.43.4.543.

Massive Hemoptysis after Generalized Tonic Clonic Seizure Requiring Mechanical Ventilation

• Ryu JS
• Cho JH
• Kwak SM
• Lee HL
• Lee IK

• KMID: 1122016
• DOI: http://doi.org/10.3349/ymj.2002.43.4.543

Abstract

A 38-year-old woman presented with massive hemoptysis ( 200 mL/ 24 hours) occurring abruptly after generalized tonic clonic seizure. She experienced similar episodes of hemoptysis on three later occasions. Although the coexistence of hemoptysis and seizure has been reported, albeit rarely, as a clinical manifestation of postictal neurogenic pulmonary edema, massive hemoptysis after seizure is an extremely rare event with no recurrent cases of such episodes having ever been reported. The coexistence of hemoptysis and seizure increases the difficulty in diagnosis for the clinician. We describe the differential diagnosis among the diseases capable of causing seizure and hemoptysis.

Keyword

Seizure; hemoptysis

MeSH Terms

Adult
Case Report
Diagnosis, Differential
Epilepsy, Tonic-Clonic/*complications
Female
Hemoptysis/*diagnosis/etiology
Human
Pulmonary Alveoli
Pulmonary Edema/complications
Recurrence
*Respiration, Artificial