{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T18:18:45Z","timestamp":1755800325230,"version":"3.44.0"},"reference-count":5,"publisher":"SMC Media","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Introduction:\u00a0Seizure 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:\u00a0A 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:\u00a0Seizure 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.<\/jats:p>","DOI":"10.12890\/2023_003996","type":"journal-article","created":{"date-parts":[[2023,8,18]],"date-time":"2023-08-18T03:00:06Z","timestamp":1692327606000},"source":"Crossref","is-referenced-by-count":0,"title":["Seizure and bilateral external jugular vein distention: a rare manifestation of Stanford type A aortic dissection"],"prefix":"10.12890","volume":"10","author":[{"given":"Mohamad","family":"Zbidat","sequence":"first","affiliation":[{"name":"Galilee Medical Center, Nahariya, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Botros","family":"Msheiil","sequence":"first","affiliation":[{"name":"Galilee Medical Center, Nahariya, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nasra","family":"Idilbi","sequence":"first","affiliation":[{"name":"Galilee Medical Center, Nahariya, Israel; The Max Stern Yezreel Valley College, D.N. Emek Yezreel, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10397","published-online":{"date-parts":[[2023,8,16]]},"reference":[{"key":"10.12890\/2023_003996_ref1","doi-asserted-by":"crossref","unstructured":"<li>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. <em>Eur Heart J Case Rep<\/em> 2020;<strong>5<\/strong>:ytaa429<\/li>","DOI":"10.1093\/ehjcr\/ytaa429"},{"key":"10.12890\/2023_003996_ref2","doi-asserted-by":"crossref","unstructured":"<li>Gawinecka J, Sch\u00f6nrath F, von Eckardstein A. Acute aortic dissection: pathogenesis, risk factors and diagnosis. <em>Swiss Med Wkly<\/em> 2017;<strong>147<\/strong>:w14489<\/li>","DOI":"10.4414\/smw.2017.14489"},{"key":"10.12890\/2023_003996_ref3","doi-asserted-by":"crossref","unstructured":"<li>Lawal OJ, Dhindsa HS, Loyd JW. A patient with altered mental status and possible seizure reveals an atypical aortic dissection upon workup. <em>Am J Emerg Med<\/em> 2014;<strong>32<\/strong>:488.e1-2<\/li>","DOI":"10.1016\/j.ajem.2013.11.010"},{"key":"10.12890\/2023_003996_ref4","doi-asserted-by":"crossref","unstructured":"<li>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. <em>Circulation<\/em> 2018;<strong>137<\/strong>:1846-1860<\/li>","DOI":"10.1161\/CIRCULATIONAHA.117.031264"},{"key":"10.12890\/2023_003996_ref5","unstructured":"<li>Finsterer J, Frank M, Keller H, Bastowanski A. Seizure as initial manifestation of aortic dissection type a. <em>West J Emerg Med<\/em> 2010;<strong>11<\/strong>:510-511<\/li>"}],"container-title":["European Journal of Case Reports in Internal Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/3996\/3619","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/3996\/3620","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/3996\/3620","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,20]],"date-time":"2025-08-20T07:59:02Z","timestamp":1755676742000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/view\/3996"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,16]]},"references-count":5,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.12890\/2023_003996","relation":{"has-manifestation":[{"id-type":"other","id":"1-104-3996-g3619","asserted-by":"subject"},{"id-type":"other","id":"1-104-3996-g3620","asserted-by":"subject"}],"is-part-of":[{"id-type":"other","id":"1-104","asserted-by":"subject"}]},"ISSN":["2284-2594"],"issn-type":[{"type":"electronic","value":"2284-2594"}],"subject":[],"published":{"date-parts":[[2023,8,16]]}}}