Malignant Ischemic Stroke in a Young Female: A Rare Primary Manifestation of Takayasu Arteritis

Abstract

Takayasu arteritis is a rare chronic progressive granulomatous necrotizing large vessel panvasculitis mainly involving aorta and its main branches. It commonly affects the female in second to third decades. Common clinical features of Takayasu arteritis are hypertension, claudication, dizziness, headache, or fever. Takayasu arteritis is diagnosed with clinical history of claudication, absent pulse, discordant blood pressure, bruit over aorta, and typical angiographic findings. Stroke as a primary manifestation of Takayasu arteritis is rarely reported in the medical literatures. We are reporting a 16-year-old female who had malignant ischemic stroke as a first manifestation of Takayasu arteritis.

Multiple occlusions in extracranial arteries in patients with aortic arch syndrome: is minimally invasive treatment still possible? Technical aspects of the treatment based on our own experience and a review of the literature.

“…The treatment of patients with multiple aortic arch branch involvement, including their occlusion, has been widely described [7,8,[15][16][17][18][19][20][21][22][23][24][25]. In most cases of patients with the active inflammatory phase of TA, the immunosuppressive treatment alone may be effective in reducing the cerebral ischaemic Photo 1.…”

“…Right-sided Subclavian Steal Syndrome. 8 mm wide patent left vertebral artery (LVA) with antegrade flow is the only vessel providing blood supply to the brain structures symptoms [19][20][21][22]. Sometimes surgical treatment is needed [15,17,18].…”