Related Experiment Video
Updated: Jul 16, 2025

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Comprehensive Management of Takayasu Arteritis Using Immunologic and Antithrombotic Interventions With Cerebral
Hideo Kihara1, Takafumi Uchi1, Shingo Konno1
1Neurology, Toho University Ohashi Medical Center, Tokyo, JPN.
Abstract:
A 20-year-old woman with bilateral common carotid artery stenosis was diagnosed with Takayasu arteritis (TA). She suffered from a recurrent stroke, and repeated transient ischemic attacks (TIAs) occurred due to middle cerebral artery (MCA) stenosis. The clinical course indicated that TA contributed to MCA stenosis despite the negative results for serological inflammation markers. Immunotherapy with tocilizumab and methotrexate effectively reduced disease activity and improved symptoms. Bed rest and hydration prevented further TIAs and ischemic stroke progression. Long-term monitoring of neurological symptoms and angiography findings is essential to evaluate disease severity and treatment efficacy in TA patients with negative inflammatory markers.
Related Concept Videos
Atherosclerosis III: Management
Peripheral Artery Disease III: Interprofessional Care
Rheumatic Heart Disease III: Medical Management
Atherosclerosis IV: Nursing Management
Coronary Artery Disease V: Interprofessional Care
Angina IV: Management

