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Background <p>Aortic dissections are cardiovascular cases with high mortality that can present with many different clinical findings. The development of preoperative neurological findings may negatively affect postoperative results.</p> Case presentation <p>In this case, a patient with a right common carotid artery occlusion due to type 1 aortic dissection, a plegic right lowers extremity, and a generalized tonic-clonic seizure just before surgery was presented. After the Bentall operation, spinal cord ischemia was diagnosed and pulse steroid treatment was started.</p> Conclusions <p>The case was wanted to be shared due to its specific neurological and vascular condition.</p>

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A rare case of type 1 aortic dissection with carotid arter occlusion, preoperative seizure, and postoperative spinal cord ischemia

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年3月30日

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  • Mehmet Işık,
  • Hanefi Furkan Öz,
  • Hasan Hüseyin Kır,
  • Yalçın Günerhan,
  • Yüksel Dereli

摘要

Background

Aortic dissections are cardiovascular cases with high mortality that can present with many different clinical findings. The development of preoperative neurological findings may negatively affect postoperative results.

Case presentation

In this case, a patient with a right common carotid artery occlusion due to type 1 aortic dissection, a plegic right lowers extremity, and a generalized tonic-clonic seizure just before surgery was presented. After the Bentall operation, spinal cord ischemia was diagnosed and pulse steroid treatment was started.

Conclusions

The case was wanted to be shared due to its specific neurological and vascular condition.