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Most spontaneous acute atraumatic arterial dissections (SAAADs) present with radiating pain in locations that vary depending on the artery affected. [1] The two most studied SAAAD types, aortic dissection (AoD) and coronary artery dissection, (CoAD) classically present with ripping back pain and chest pain, respectively, but less-specific symptoms like dizziness, headache and focal weakness can also occur. [2,3] When seizures arise in this context, they have traditionally been attributed to downstream effects of the dissections, like syncope, malperfusion or focal brain lesions (FBLs).