Published online Nov 6, 2022. doi: 10.12998/wjcc.v10.i31.11542
Peer-review started: June 2, 2022
First decision: August 22, 2022
Revised: August 30, 2022
Accepted: October 9, 2022
Article in press: October 9, 2022
Published online: November 6, 2022
Aortic dissection (AoD) is a life-threatening disease. Its diversified clinical manifestations, especially the atypical ones, make it difficult to diagnose. The epileptic seizure is a neurological problem caused by various kinds of diseases, but AoD with epileptic seizure as the first symptom is rare.
A 53-year-old male patient suffered from loss of consciousness for 1 h and tonic-clonic convulsion for 2 min. The patient performed persistent hypomania and chest discomfort for 30 min after admission. He had a history of hypertension without regular antihypertensive drugs, and the results of his bilateral blood pressure varied greatly. Then the electroencephalogram showed the existence of epileptic waves. The thoracic aorta computed tomography angiography showed the appearance of AoD, and it originated at the lower part of the ascending aorta. Finally, the diagnosis was AoD (DeBakey, type I), acute aortic syndrome, hyper
The AoD symptoms are varied. When diagnosing the epileptic seizure etiologically, AoD is important to consider by clinical and imaging examinations.
Core Tip: The clinical manifestations of aortic dissection (AoD) are diverse. AoD with epileptic seizure as the first symptom is rare. Measuring blood pressure and image analysis are important to diagnose. In conclusion, it is important to consider AoD when diagnosing epileptic seizure, and surgical treatment is an important option under the right conditions.