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A Case Report of Takayasu's Arteritis With Cerebral Infarction As Initial Presentation
Tehsim Memon1,2, Tufayl Ahmed M Shekha2, Pavan Acharya1
1Internal Medicine, Smt. Nathiba Hargovandas Lakhmichand (NHL) Municipal Medical College, Ahmedabad, IND.
Cureus
|November 23, 2022
Summary
Takayasu arteritis, a rare cause of stroke, affects large arteries. Early diagnosis in young stroke patients is crucial for treatment and preventing organ damage.
Area of Science:
- Vascular Inflammation
- Neurology
- Rheumatology
Background:
- Takayasu arteritis involves chronic inflammation of major arteries like the aorta.
- It can lead to arterial narrowing, reduced blood flow, and organ damage.
- Stroke is a known complication, but rarely the initial symptom.
Observation:
- A 16-year-old female presented with stroke symptoms (hemiparesis, aphasia) and a pulseless arm.
- Initial investigations showed elevated inflammatory markers (ESR) but no clear cause.
- Imaging revealed extensive arterial occlusion in the carotid arteries and a middle cerebral artery infarct.
Findings:
- The patient was diagnosed with Takayasu arteritis based on clinical presentation and imaging findings.
- Treatment with steroids led to gradual recovery and discharge.
- This case highlights an unusual initial presentation of Takayasu arteritis.
Implications:
- Young stroke patients should be evaluated for Takayasu arteritis.
- Prompt diagnosis and treatment can prevent further vascular complications and end-organ damage.
- This emphasizes the importance of considering rare causes of stroke in specific demographics.
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