Key result
An extensive chronic aortic dissection can present with acute embolic stroke and seizure, requiring a high index of clinical suspicion for definitive diagnosis.
Case Report (n=1)
Highlights a rare presentation of extensive chronic aortic dissection with acute embolic stroke and seizure, emphasizing the need for high clinical suspicion and correlation with multi-organ system dysfunction from chronic ischemia.
Underscores need for suspicion in atypical embolic stroke with seizure; extends known aortic dissection presentations but remains hypothesis-generating.
Herein, we present a rare case of extensive chronic aortic dissection with extension to bilateral subclavian arteries, bilateral common carotid arteries, right internal carotid artery, bilateral proximal external iliac arteries and simultaneous presentation of acute embolic stroke and seizure. The rarity of this case presentation and the presence of neurological features necessitated a high index of clinical suspicion to reach the definitive diagnosis. This study also demonstrates a unique situation requiring correlation between chronic aortic dissection and multi-organ system dysfunction from chronic ischemia.
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Basnet et al. (2017) conducted a case report in Extensive chronic aortic dissection presenting with acute embolic stroke and seizure (n=1). Extensive chronic aortic dissection was evaluated. An extensive chronic aortic dissection can present with acute embolic stroke and seizure, requiring a high index of clinical suspicion for definitive diagnosis.
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