Yanagawa Youichi, Ishikawa Kouhei, Nagasawa Hiroki, Takeuchi Ikuto, Jitsuiki Kei, Madokoro Shunsuke, Kondo Akihiko, Ohsaka Hiromichi, Omori Kazuhiko
Department of Acute Critical Care Medicine, Juntendo University, Shizuoka Hospital, Izunokuni City, Shizuoka, Japan.
Aorta (Stamford). 2019 Oct;7(5):144-146. doi: 10.1055/s-0039-3401023. Epub 2019 Dec 31.
Focal convulsion as an initial sign of aortic dissection is extremely rare. Type A aortic dissection involves the aortic arch, which may result in seizure either through the extension of the dissection into the common carotid arteries or through thromboembolism or cerebral hypoperfusion. Physicians should perform whole body computed tomography to determine whether or not dissection is present when treating patients with convulsion and a high level of fibrin degradation products.
局灶性惊厥作为主动脉夹层的初始症状极为罕见。A型主动脉夹层累及主动脉弓，可通过夹层延伸至颈总动脉、血栓栓塞或脑灌注不足导致惊厥。在治疗伴有惊厥且纤维蛋白降解产物水平升高的患者时，医生应进行全身计算机断层扫描以确定是否存在夹层。
