Reumatizam, Vol. 70 No. 2, 2023.
Review article
https://doi.org/10.33004/reumatizam-70-2-3
Massive stroke in a young male patient as a manifestation of Takayasu’s arteritis
Mónica Fernandes-Pineda
orcid.org/0000-0003-4891-543X
*
Luis Fernando Medina-Quintero
* Corresponding author.
Abstract
Takayasu’s arteritis (TA) is a less common type of large vessel vasculitis associated with inflammation of the wall of the aorta and its major branches. Patients with Takayasu’s arteritis are at risk of developing neurological complications, such as cerebrovascular ischemic events. In this paper, we present a case of a male in his mid-fifties with no prior medical history, who abruptly developed right-sided hemiplegia and motor aphasia. Brain and neck angiography revealed an infarction in the territory of the left middle cerebral artery, along with a substantial occlusion of the left common carotid artery and left subclavian artery. The patient was diagnosed with Takayasu’s arteritis. The occurrence of stroke in young patients should include, among the differential diagnoses, rheumatological diseases such as Takayasu’s arteritis. A prompt diagnosis can lead to early treatment and reduced complications.
Keywords
Takayasu’s arteritis, young-onset stroke, large vessel vasculitis, pulseless disease
Hrčak ID:
320039
URI
Publication date:
8.8.2024.
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