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CC BY 4.0 · Aorta (Stamford) 2019; 07(05): 144-146
DOI: 10.1055/s-0039-3401023
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

A Case in Which Focal Convulsion Was the Initial Sign of Fatal Aortic Dissection

Youichi Yanagawa
1   Department of Acute Critical Care Medicine, Juntendo University, Shizuoka Hospital, Izunokuni City, Shizuoka, Japan
,
Kouhei Ishikawa
1   Department of Acute Critical Care Medicine, Juntendo University, Shizuoka Hospital, Izunokuni City, Shizuoka, Japan
,
Hiroki Nagasawa
1   Department of Acute Critical Care Medicine, Juntendo University, Shizuoka Hospital, Izunokuni City, Shizuoka, Japan
,
Ikuto Takeuchi
1   Department of Acute Critical Care Medicine, Juntendo University, Shizuoka Hospital, Izunokuni City, Shizuoka, Japan
,
Kei Jitsuiki
1   Department of Acute Critical Care Medicine, Juntendo University, Shizuoka Hospital, Izunokuni City, Shizuoka, Japan
,
Shunsuke Madokoro
1   Department of Acute Critical Care Medicine, Juntendo University, Shizuoka Hospital, Izunokuni City, Shizuoka, Japan
,
Akihiko Kondo
1   Department of Acute Critical Care Medicine, Juntendo University, Shizuoka Hospital, Izunokuni City, Shizuoka, Japan
,
Hiromichi Ohsaka
1   Department of Acute Critical Care Medicine, Juntendo University, Shizuoka Hospital, Izunokuni City, Shizuoka, Japan
,
Kazuhiko Omori
1   Department of Acute Critical Care Medicine, Juntendo University, Shizuoka Hospital, Izunokuni City, Shizuoka, Japan
› Author Affiliations Funding This article received financial support from the Ministry of Education, Culture, Sports, Science, and Technology (MEXT)-Supported Program for the Strategic Research Foundation at Private Universities, 2015 to 2019 concerning (The constitution of total researching system for comprehensive disaster, medical management, corresponding to wide-scale disaster). (No grant number)
Further Information

Publication History

14 May 2018

02 November 2019

Publication Date:
31 December 2019 (online)

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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.

Keywords

focal convulsion - aortic dissection - thromboembolism
 

  • References

  • 1 Yanagawa Y, Sakamoto T. Characteristics of patients that experience cardiopulmonary arrest following aortic dissection and aneurysm. J Emerg Trauma Shock 2013; 6 (03) 159-163
    CrossrefPubMedGoogle Scholar
  • 2 Yanagawa Y, Omori K, Kando Y, Kitamura S. Acute type A aortic dissection mimicking hemorrhagic stroke. Sch J Med Case Rep 2017; 5 (05) 324-326
    PubMedGoogle Scholar
  • 3 Mo HH, Chen SC, Lee CC. Seizure: an unusual primary presentation of type A aortic dissection. Am J Emerg Med 2008; 26 (02) 245.e1-245.e2
    PubMedGoogle Scholar
  • 4 Oon JE, Kee AC, Toh HC. A case report of Stanford type A aortic dissection presenting with status epilepticus. Am J Emerg Med 2011; 29 (02) 243.e5-243.e6
    PubMedGoogle Scholar
  • 5 Chen CH, Liu KT. A case report of painless type A aortic dissection with intermittent convulsive syncope as initial presentation. Medicine (Baltimore) 2017; 96 (17) e6762
    PubMedGoogle Scholar
  • 6 Wright V, Horvath R, Baird AE. Aortic dissection presenting as acute ischemic stroke. Neurology 2003; 61 (04) 581-582
    CrossrefPubMedGoogle Scholar
  • 7 Riley TL, Friedman JM. Stroke, orthostatic hypotension, and focal seizures. JAMA 1981; 245 (12) 1243-1244
    CrossrefPubMedGoogle Scholar
  • 8 Riley RS, Gilbert AR, Dalton JB, Pai S, McPherson RA. Widely used types and clinical applications of D-Dimer assay. Lab Med 2016; 47 (02) 90-102
    CrossrefPubMedGoogle Scholar