Seizure and bilateral external jugular vein distention: a rare manifestation of Stanford type A aortic dissection

Introduction: Seizure as a sole sign of Stanford Type A aortic dissection (AAD) is mentioned in the medical literature. In this case, AAD was manifested by external bilateral jugular vein distention and generalized seizure. Patients and Methods: A 47-year-old woman presented to the Emergency Departm...

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Main Authors: Mohamad Zbidat, Botros Msheiil, Nasra Idilbi
Format: Article
Language:English
Published: SMC MEDIA SRL 2023-08-01
Series:European Journal of Case Reports in Internal Medicine
Subjects:
Online Access:https://www.ejcrim.com/index.php/EJCRIM/article/view/3996
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author Mohamad Zbidat
Botros Msheiil
Nasra Idilbi
author_facet Mohamad Zbidat
Botros Msheiil
Nasra Idilbi
author_sort Mohamad Zbidat
collection DOAJ
description Introduction: Seizure as a sole sign of Stanford Type A aortic dissection (AAD) is mentioned in the medical literature. In this case, AAD was manifested by external bilateral jugular vein distention and generalized seizure. Patients and Methods: A 47-year-old woman presented to the Emergency Department with convulsions in the upper and lower extremities. She was diagnosed with AAD and transferred to a hospital with cardio-thoracic capabilities for surgery. Conclusion: Seizure resulting from aortic dissection has been explained by general cerebral hypoperfusion. However, jugular vein distention could be secondary to increased thoracic pressure, due to compression of the pulmonary artery by the ascending aorta.
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spelling doaj.art-65f5dfc913894361a7d85d064964c2a12023-09-05T09:56:45ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942023-08-0110.12890/2023_0039963531Seizure and bilateral external jugular vein distention: a rare manifestation of Stanford type A aortic dissectionMohamad Zbidat0Botros Msheiil1Nasra Idilbi2Galilee Medical Center, Nahariya, IsraelGalilee Medical Center, Nahariya, IsraelGalilee Medical Center, Nahariya, Israel; The Max Stern Yezreel Valley College, D.N. Emek Yezreel, IsraelIntroduction: Seizure as a sole sign of Stanford Type A aortic dissection (AAD) is mentioned in the medical literature. In this case, AAD was manifested by external bilateral jugular vein distention and generalized seizure. Patients and Methods: A 47-year-old woman presented to the Emergency Department with convulsions in the upper and lower extremities. She was diagnosed with AAD and transferred to a hospital with cardio-thoracic capabilities for surgery. Conclusion: Seizure resulting from aortic dissection has been explained by general cerebral hypoperfusion. However, jugular vein distention could be secondary to increased thoracic pressure, due to compression of the pulmonary artery by the ascending aorta.https://www.ejcrim.com/index.php/EJCRIM/article/view/3996type a aortic dissectionexternal jugular vein distention fatal medical emergency
spellingShingle Mohamad Zbidat
Botros Msheiil
Nasra Idilbi
Seizure and bilateral external jugular vein distention: a rare manifestation of Stanford type A aortic dissection
European Journal of Case Reports in Internal Medicine
type a aortic dissection
external jugular vein distention
fatal medical emergency
title Seizure and bilateral external jugular vein distention: a rare manifestation of Stanford type A aortic dissection
title_full Seizure and bilateral external jugular vein distention: a rare manifestation of Stanford type A aortic dissection
title_fullStr Seizure and bilateral external jugular vein distention: a rare manifestation of Stanford type A aortic dissection
title_full_unstemmed Seizure and bilateral external jugular vein distention: a rare manifestation of Stanford type A aortic dissection
title_short Seizure and bilateral external jugular vein distention: a rare manifestation of Stanford type A aortic dissection
title_sort seizure and bilateral external jugular vein distention a rare manifestation of stanford type a aortic dissection
topic type a aortic dissection
external jugular vein distention
fatal medical emergency
url https://www.ejcrim.com/index.php/EJCRIM/article/view/3996
work_keys_str_mv AT mohamadzbidat seizureandbilateralexternaljugularveindistentionararemanifestationofstanfordtypeaaorticdissection
AT botrosmsheiil seizureandbilateralexternaljugularveindistentionararemanifestationofstanfordtypeaaorticdissection
AT nasraidilbi seizureandbilateralexternaljugularveindistentionararemanifestationofstanfordtypeaaorticdissection