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 ...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 tonicclonic 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.展开更多
目的:探讨主动脉夹层的易患因素、临床特点、诊断方法、治疗及预后,提高对该病的认识。方法:回顾性分析54例主动脉夹层分离患者的临床资料。结果:剧烈疼痛是最主要的首发症状(91%)、M R I成像检查诊断准确性最高(100%),药物治疗A型病死...目的:探讨主动脉夹层的易患因素、临床特点、诊断方法、治疗及预后,提高对该病的认识。方法:回顾性分析54例主动脉夹层分离患者的临床资料。结果:剧烈疼痛是最主要的首发症状(91%)、M R I成像检查诊断准确性最高(100%),药物治疗A型病死率(53%)高于B型(8%)。结论:快速、及时、有效的诊断和治疗是提高生存率的关键。展开更多
基金Supported by the Sichuan Provincial Science and Technology Department,No.2019ZYZF0063,and No.2020YJ0497the Sichuan Medical Association,No.Q21049the Key Technology Plan of Yaan City,No.21KJH0006.
文摘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 tonicclonic 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.
文摘目的:探讨主动脉夹层的易患因素、临床特点、诊断方法、治疗及预后,提高对该病的认识。方法:回顾性分析54例主动脉夹层分离患者的临床资料。结果:剧烈疼痛是最主要的首发症状(91%)、M R I成像检查诊断准确性最高(100%),药物治疗A型病死率(53%)高于B型(8%)。结论:快速、及时、有效的诊断和治疗是提高生存率的关键。
