A Unique Case of Pregnancy-Associated Spontaneous Coronary Artery Dissection Presenting As Generalized Tonic-Clonic Seizure.

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.