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Recurrent Vertigo: Is it Takayasu's Arteritis?
Tiwari Ashutosh1, Kumar Nilesh, Varshney Ankur Nandan
1Department of General Medicine, Institute of Medical Sciences, Banaras Hindu University, Uttar Pradesh, Varanasi 221005, India.
Case Reports in Vascular Medicine
|March 28, 2013
Summary
Takayasu
Area of Science:
- Neurology
- Rheumatology
- Vascular Medicine
Background:
- Takayasu's arteritis is a rare inflammatory condition affecting large arteries, primarily the aorta.
- It predominantly affects young females and individuals in Asian countries.
- Atypical presentations, such as isolated vertigo, are uncommon.
Purpose of the Study:
- To report a rare case of Takayasu's arteritis presenting solely with recurrent vertigo.
- To discuss the potential etiologies of vertigo in the context of this vasculitis.
Main Methods:
- A case study of a 38-year-old female with recurrent vertigo.
- Clinical examination revealing pulse discrepancies and elevated lower limb blood pressure.
- Diagnostic workup including imaging (NCCT head) to investigate vasculitis and cerebral infarcts.
Main Results:
- The patient presented with recurrent vertigo, pulse discrepancies, and hypertension.
- Investigations confirmed Takayasu's arteritis.
- Cranial imaging revealed bilateral parietal infarcts.
Conclusions:
- Takayasu's arteritis can present atypically with vertigo as the sole initial symptom.
- Vertigo in this case may be attributed to the arteritis directly or to associated cerebral infarcts.
- Highlights the importance of considering vasculitis in patients with unexplained neurological symptoms.
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