Received on 06 October 2025; revised on 13 November 2025; accepted on 15 November 2025
Tranexamic acid (TXA), an antifibrinolytic agent has found favour in the field of obstetrics and gynaecology due to its role in prevention and control of primary postpartum haemorrhage and cases of abnormal uterine bleeding. Tonic clonic seizures have been reported as a rare side effect of intravenous tranexamic acid experienced by patients receiving the drug. We describe a case of a nulliparous woman with abnormal uterine bleeding who developed generalized tonic clonic seizures following intravenous administration of 1g of TXA. She had no other neurological deficits and her electroencephalogram study showed no abnormal wave pattern.
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