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Novel and Innovative Hybrid Technique for Type A Aortic Dissection

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Published on: March 28, 2025

Aortic dissection with epileptic seizure: A case report.

Bo Zheng¹, Xue-Qiong Huang², Zhao Chen¹

¹Department of Neurology, Yaan People's Hospital, Yaan 625000, Sichuan Province, China.

World Journal of Clinical Cases

|November 17, 2022

Summary

Aortic dissection (AoD) can rarely present as an initial epileptic seizure. This case highlights the importance of considering AoD in patients with unexplained seizures, even with atypical symptoms.

Keywords:

Aortic dissection Case report Diagnosis Epileptic seizure Hypertension Surgical treatment

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Area of Science:

Cardiology
Neurology
Vascular Surgery

Background:

Aortic dissection (AoD) is a critical vascular emergency with diverse clinical presentations.
Atypical manifestations of AoD can significantly delay diagnosis.
Epileptic seizures are typically associated with neurological conditions, but rarely with AoD.

Observation:

A 53-year-old male presented with loss of consciousness and tonic-clonic seizures.
The patient exhibited hypomania and chest discomfort post-admission, with a history of untreated hypertension and differential blood pressure.
Electroencephalogram revealed epileptic waves, and CT angiography confirmed DeBakey type I aortic dissection.

Findings:

The patient was diagnosed with aortic dissection (DeBakey type I), acute aortic syndrome, severe hypertension, and secondary epileptic seizure.
Symptomatic treatment was initiated, proving effective for symptom management.
The patient declined surgical intervention.

Implications:

This case underscores the varied and sometimes unusual presentations of aortic dissection.
Clinicians should consider aortic dissection in the etiological diagnosis of epileptic seizures, utilizing clinical and imaging evaluations.
Early consideration of AoD in seizure patients can improve diagnostic accuracy and patient outcomes.