PDF(Pubmed)
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.
METHODS: 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.
CONCLUSIONS: The AoD symptoms are varied. When diagnosing the epileptic seizure etiologically, AoD is important to consider by clinical and imaging examinations.
METHODS: 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.
CONCLUSIONS: The AoD symptoms are varied. When diagnosing the epileptic seizure etiologically, AoD is important to consider by clinical and imaging examinations.
摘要：
背景：主动脉夹层（AoD）是一种危及生命的疾病。其临床表现多样化,尤其是非典型的，很难诊断。癫痫发作是由各种疾病引起的神经系统问题，但是以癫痫发作为首发症状的AoD很少见。
方法：一名53岁男性患者出现意识丧失1小时和强直阵挛性惊厥2分钟。患者入院后30分钟持续轻度躁狂和胸部不适。他有高血压病史，没有正规的降压药，他的双侧血压结果差异很大。然后脑电图显示存在癫痫波。胸主动脉计算机断层扫描血管造影显示AoD的出现，起源于升主动脉的下部.最后,诊断是AoD(DeBakey，I型)，急性主动脉综合征,高血压（3级），和继发性癫痫发作。给予对症治疗，缓解症状，预防并发症。此后,药物治疗有效，但他拒绝了我们的手术建议。
结论：AoD症状多种多样。在病因诊断癫痫发作时，通过临床和影像学检查来考虑AoD是重要的。
方法：一名53岁男性患者出现意识丧失1小时和强直阵挛性惊厥2分钟。患者入院后30分钟持续轻度躁狂和胸部不适。他有高血压病史，没有正规的降压药，他的双侧血压结果差异很大。然后脑电图显示存在癫痫波。胸主动脉计算机断层扫描血管造影显示AoD的出现，起源于升主动脉的下部.最后,诊断是AoD(DeBakey，I型)，急性主动脉综合征,高血压（3级），和继发性癫痫发作。给予对症治疗，缓解症状，预防并发症。此后,药物治疗有效，但他拒绝了我们的手术建议。
结论：AoD症状多种多样。在病因诊断癫痫发作时，通过临床和影像学检查来考虑AoD是重要的。
