Aortic Dissection Presenting With a Seizure in a Young Woman: A Case Report

Aortic dissection is a rare but fatal emergency. It typically presents with sudden, severe chest pain or back pain, but can manifest atypically, complicating the diagnosis. We report a case of a 44-year-old woman who is a thalassemia carrier and presented with a seizure, without preceding chest or back pain. Computed tomography (CT) angiography revealed a penetrating atherosclerotic ulcer causing a dissection originating from the mid aortic arch, with retrograde extension into the proximal innominate artery and inferior extension down the descending thoracic and abdominal aorta, terminating at the infrarenal aorta.