Abstract
Focal convulsion as an initial sign of aortic dissection is extremely rare. Type A aortic dissection involves the aortic arch, which may result in seizure either through the extension of the dissection into the common carotid arteries or through thromboembolism or cerebral hypoperfusion. Physicians should perform whole body computed tomography to determine whether or not dissection is present when treating patients with convulsion and a high level of fibrin degradation products.
Highlights
Patients with aortic dissection (AD) present with various complaints and symptoms, with the major complaints being severe chest and back pain, which can shift with the progression of AD
Mo et al[3] reported a 46-year-old man with Type A aortic dissection who experienced a sudden loss of consciousness and right hemiconvulsive movements.[3]
As magnetic resonance imaging (MRI) showed an area of abnormal hyperintensity in the right-middle cerebral artery territory on diffusion-weighted imaging, he was initially diagnosed with acute cerebral infarction with convulsion
Summary
Patients with aortic dissection (AD) present with various complaints and symptoms, with the major complaints being severe chest and back pain, which can shift with the progression of AD. Address for correspondence Youichi Yanagawa, MD, PhD, Department of Acute Critical Care Medicine, Juntendo University, Shizuoka Hospital, 1129 Nagaoka, Izunokuni City, Shizuoka, Japan 410-2295 (e-mail: yyanaga@juntendo.ac.jp).
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