Sudden unexpected atraumatic arterial dissection-related death after seizures

• Published in: Seizure (London, England) Vol. 123; pp. 43 - 48
• Main Authors: Vega, Jose L., Karim, Nurose, Hall, Caroline
• Format: Journal Article
• Language: English
• Published: England Elsevier Ltd 01.12.2024
• Subjects: Adult; Aortic dissection; Aortic Dissection - complications; Arterial dissection; Catecholamines; Coronary artery dissection; Death, Sudden - etiology; Dissection, Blood Vessel; Epinephrine; Female; Humans; Male; Middle Aged; Postconvulsive leukocytosis; Seizure; Seizures - etiology; SUADAS; SUDEP; Vertebral artery dissection; Electroencephalogram; Postconvulsive leukocytosis; Breakthrough seizure; First ever seizure; Basilar artery dissection; Seizures after; Not reported; Spontaneous atraumatic acute arterial dissection; Sudden unexpected death in epilepsy; Internal carotid artery dissection; Coronary artery dissection; Case report; Computed tomography; Posterior reversible encephalopathy syndrome; SUADAS; Seizure; Blood pressure; Juvenile myoclonic epilepsy; Chronic hypertension; Epinephrine; Systolic blood pressure; Arterial dissection; Generalized tonic-clonic seizure; Left anterior descending; Catecholamines; Intracerebral hemorrhage; Anterior inferior cerebellar artery dissection; Heart rate; Cervical artery dissection; Focal brain lesion; SUDEP; Magnetic resonance imaging; Seizures before the onset of SAAAD symptoms; White blood cell count; Internal carotid artery; Renal artery dissection; Aortic dissection; Sudden unexpected atraumatic arterial dissection-related death after seizure; Lactic acid

•In susceptible patients, epileptic seizures may trigger acute atraumatic arterial dissections.•Postconvulsive leukocytoses may be linked to seizure-induced atraumatic aortic dissections.•Chronic hypertension may be a risk factor for atraumatic aortic dissections associated with epileptic seizures.•...