Case Report (n=1)
No
Aortic dissection can present atypically with seizures, highlighting the need for a high index of suspicion and prompt imaging.
Hypothesis-generating case of seizure as type A dissection presentation; leaves open whether broader imaging thresholds are warranted in atypical seizures.
We present a case of an extensive aortic dissection identified in a young male patient with atypical symptoms. The patient presented to the Emergency Department with severe sudden onset chest pain and seizure. In the Emergency Department, bedside Transthoracic Echocardiography (TTE) identified moderate pericardial effusion which correlated with a widened mediastinum on chest radiograph. The presence of aortic dissection was confirmed by an urgent CT angiogram of the thorax and abdomen. Our case highlights the importance of critical thinking in the atypical presentation of aortic dissection in which this diagnosis may not be considered, leading to negative and possibly deadly outcomes.
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Tannouri et al. (2023) conducted a case report in Aortic dissection (n=1). Aortic dissection repair with ascending aortic graft was evaluated on Clinical recovery.
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