Zheng B, Huang XQ, Chen Z, Wang J, Gu GF, Luo XJ. Aortic dissection with epileptic seizure: A case report. World J Clin Cases 2022; 10(31): 11542-11548 [PMID: 36387786 DOI: 10.12998/wjcc.v10.i31.11542]
Corresponding Author of This Article
Jian Wang, MD, Doctor, Department of Neurology, Yaan People’s Hospital, No. 358 Chenghou Road, Yaan 625000, Sichuan Province, China. wangjian0724@126.com
Research Domain of This Article
Neurosciences
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Nov 6, 2022; 10(31): 11542-11548 Published online Nov 6, 2022. doi: 10.12998/wjcc.v10.i31.11542
Aortic dissection with epileptic seizure: A case report
Bo Zheng, Xue-Qiong Huang, Zhao Chen, Jian Wang, Gang-Feng Gu, Xiao-Jing Luo
Bo Zheng, Zhao Chen, Jian Wang, Gang-Feng Gu, Xiao-Jing Luo, Department of Neurology, Yaan People’s Hospital, Yaan 625000, Sichuan Province, China
Xue-Qiong Huang, Department of Oncology, Yaan People’s Hospital, Yaan 625000, Sichuan Province, China
Author contributions: Zheng B, Huang XQ, Wang J, and Gu GF reviewed the literature and contributed to manuscript drafting; Chen Z analyzed and interpreted the imaging findings; Luo XJ was responsible for the revision of the manuscript for important intellectual content; All authors issued final approval for the version to be submitted.
Supported bythe Sichuan Provincial Science and Technology Department, No. 2019ZYZF0063, and No. 2020YJ0497; the Sichuan Medical Association, No. Q21049; and the Key Technology Plan of Yaan City, No. 21KJH0006.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors have no conflicts of interest to declare.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Received: June 2, 2022 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 Processing time: 146 Days and 15.2 Hours
Abstract
BACKGROUND
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.
CASE SUMMARY
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, hypertension (Grade 3), and secondary epileptic seizure. He was given symptomatic treatment to relieve symptoms and prevent complications. Thereafter, the medical therapy was effective but he refused our surgical advice.
CONCLUSION
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.
