Siavosh Parto, Jaf Jaafar Al-Sadiq, Shaker Seyed Hossien
Hematology and Medical Oncology, Rasoul Akram Hospital, Tehran, IRN.
Stroke, Stepping Hill Hospital, Manchester, GBR.
Cureus. 2025 Sep 9;17(9):e91915. doi: 10.7759/cureus.91915. eCollection 2025 Sep.
Aortic aneurysms can remain asymptomatic or present with complications, including aortic dissection. Aortic dissection itself may manifest with a wide spectrum of signs and symptoms, which can make diagnosis challenging. A 63-year-old man is discussed in this article, who presented with episodes of seizure. He had a history of type B aortic dissection being treated medically. Chest computed tomography (CT) scan showed a 10 cm aortic aneurysm and dissection. He was admitted to the coronary care unit and underwent thoracic endovascular aortic repair (TEVAR). His postoperative course was uneventful, and he was discharged home in stable condition. One of the most important but easy-to-miss diagnoses to consider in patients with neurological symptoms is aortic dissection. Depending on the type and severity, and chronicity of the disease, different management plans can be considered. TEVAR is one of the new techniques in treating this condition.
主动脉瘤可能无症状，或出现包括主动脉夹层在内的并发症。主动脉夹层本身可能表现出各种各样的体征和症状，这会使诊断具有挑战性。本文讨论了一名63岁男性，他出现了癫痫发作。他有B型主动脉夹层病史，正在接受药物治疗。胸部计算机断层扫描（CT）显示一个10厘米的主动脉瘤和夹层。他被收入冠心病监护病房，并接受了胸主动脉腔内修复术（TEVAR）。他的术后过程平稳，出院时情况稳定。对于有神经症状的患者，需要考虑的最重要但容易漏诊的诊断之一是主动脉夹层。根据疾病的类型、严重程度和病程，可以考虑不同的治疗方案。TEVAR是治疗这种疾病的新技术之一。
