A 29-year-old man presented to the emergency department with a complaint of a seizure. Additionally, he complained of pain in the left leg one day ago. Furthermore, he was a known case of mitral valve prolapse, which was diagnosed when he was 18 years old. He was also a commercial airline pilot, and his working days were 18 days in one month. According to the patient, he was living in a high-altitude city. His family history included a first cousin with epilepsy. The doctors ordered a CT scan of the head, which was unremarkable. Therefore, he was referred to neurology. The neurology department ruled out epilepsy as the cause of seizures. This is because EEG had turned out normal. One week after his initial presentation and referral to neurology, the patient presented again with pain in the left leg and shortness of breath. The doctors did not order any baseline blood investigations or any imaging. The doctors diagnosed him with a case of allergies and discharged him. In the following month, he experienced another seizure in the morning, for which he did not seek any medical care. Read more about it here: https://journal.medizzy.com/may-thurner-syndrome-2/
Source: https://journal.medizzy.com/may-thurner-syndrome-2/