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Updated: Jun 10, 2025

Author Spotlight: Advancing Pediatric Epilepsy Surgery in Children Through Novel Biomarkers and Enhanced Localization
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A Unique Case of Pregnancy-Associated Spontaneous Coronary Artery Dissection Presenting As Generalized Tonic-Clonic

Saad Ur Rahman1,2, Seemab Imtiaz Gill3, Muhammad U Rana2

  • 1Internal Medicine, Carle Illinois College of Medicine, Urbana, USA.

Cureus
|October 21, 2024
PubMed

Spontaneous coronary artery dissection (SCAD) is an uncommon form of non-atherosclerotic coronary artery disease, characterized by a sudden tear in coronary artery layers. Pregnancy-associated SCAD (P-SCAD) is a rare variant occurring during pregnancy or postpartum. We present a case of P-SCAD in a 31-year-old postpartum female who experienced generalized tonic-clonic seizures along with ventricular fibrillation. Despite its rarity, P-SCAD should be considered in postpartum females with atypical symptoms, such as seizures or ventricular fibrillation. This case underscores the need for heightened clinical suspicion and timely intervention to manage P-SCAD effectively. Early recognition can lead to improved patient outcomes and appropriate management strategies, ranging from conservative approaches to percutaneous interventions or implantable cardioverter-defibrillator placement.

Keywords:
generalized tonic clonic seizurespostpartumscad in pregnancyst-elevation myocardial infarction (stemi)ventricular fibrillation (vf) storm

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