Seizure and bilateral external jugular vein distention: a rare manifestation of Stanford type A aortic dissection
  • Mohamad Zbidat
    Galilee Medical Center, Nahariya, Israel
  • Botros Msheiil
    Galilee Medical Center, Nahariya, Israel
  • Nasra Idilbi
    Galilee Medical Center, Nahariya, Israel; The Max Stern Yezreel Valley College, D.N. Emek Yezreel, Israel


Type A aortic dissection, external jugular vein distention, fatal medical emergency


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.



  • Qiu TY, See JJ, Shi H, Wong YJ. Acute liver failure and seizure: a case report of an unusual presentation of acute painless aortic dissection. Eur Heart J Case Rep 2020;5:ytaa429
  • Gawinecka J, Schönrath F, von Eckardstein A. Acute aortic dissection: pathogenesis, risk factors and diagnosis. Swiss Med Wkly 2017;147:w14489
  • Lawal OJ, Dhindsa HS, Loyd JW. A patient with altered mental status and possible seizure reveals an atypical aortic dissection upon workup. Am J Emerg Med 2014;32:488.e1-2
  • Evangelista A, Isselbacher EM, Bossone E, Gleason TG, Eusanio MD, Sechtem U, et al. Insights From the International Registry of Acute Aortic Dissection: A 20-Year Experience of Collaborative Clinical Research. Circulation 2018;137:1846-1860
  • Finsterer J, Frank M, Keller H, Bastowanski A. Seizure as initial manifestation of aortic dissection type a. West J Emerg Med 2010;11:510-511
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    Published: 2023-08-16
    Issue: 2023: Vol 10 No 9 (view)

    How to cite:
    Zbidat M, Msheiil B, Idilbi N. Seizure and bilateral external jugular vein distention: a rare manifestation of Stanford type A aortic dissection. EJCRIM 2023;10 doi:10.12890/2023_003996.

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