Takayasu arteritis presenting as a stroke in young: a case report
Paras Oli1, Prabhat Poudel1, Shradha Kc2
1Department of Internal Medicine (Neurology), Nepal Medical College.
Annals of Medicine and Surgery (2012)
|February 9, 2024
Summary
Takayasu arteritis, a large-vessel vasculitis, can present with stroke in young women. Early diagnosis and treatment are crucial to prevent severe complications and long-term disability.
Area of Science:
- Vascular Medicine
- Neurology
- Rheumatology
Background:
- Takayasu arteritis is a rare, large-vessel vasculitis primarily affecting young women.
- Delayed diagnosis is common due to subtle early symptoms, leading to significant morbidity.
- Vessel stenosis is a key complication, potentially causing ischemic events.
Observation:
- A 29-year-old female presented with hemiparesis and facial deviation, indicative of a stroke.
- Diagnostic imaging, including CT angiography and Carotid Doppler, confirmed Takayasu arteritis.
- The patient was treated with prednisolone and mycophenolate mofetil.
Findings:
- Stroke can be an initial, albeit rare, manifestation of Takayasu arteritis.
- Prompt diagnosis and intervention are essential for managing this condition.
- The presented case highlights the importance of considering vasculitis in young stroke patients.
Implications:
- Early identification of Takayasu arteritis can prevent irreversible neurological damage.
- Effective management strategies can mitigate physical, cognitive, and socioeconomic adversities.
- This case underscores the need for heightened clinical suspicion for vasculitis in young individuals with stroke.
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