Recurrent stroke in Takayasu arteritis: a case report and review of literature

Authors

  • Joyce Angelie S. Tee Department of Neurosciences, East Avenue Medical Center, Quezon City, Philippines
  • Dan Neftalie A. Juangco Department of Neurosciences, East Avenue Medical Center, Quezon City, Philippines
  • Renato Dejan J. Department of Neurosciences, East Avenue Medical Center, Quezon City, Philippines

DOI:

https://doi.org/10.18203/2320-6012.ijrms20231653

Keywords:

Takayasu arteritis, Ischemic stroke, Recurrent, Case report

Abstract

Takayasu Arteritis is a rare inflammatory vasculitis affecting medium to large blood vessels. Neurologic complications are seen in 10-20% of cases. A 28 year old female came in due to acute onset left sided weakness and numbness, with absent arterial pulses and blood pressure on the left extremities. She had a history of recurrent right-sided weakness and numbness. Imaging showed an infarct on the right thalamus and multiple chronic infarcts. CT aortogram was consistent with Takayasu Arteritis Type V. The patient was started dual antiplatelet consisting of Aspirin and Clopidogrel, and was started on Prednisone and Methotrexate with good clinical response.

References

Smajlović D. Strokes in young adults: epidemiology and prevention. Vascular Health and Risk Management. 2015;11:157-64.

Silver M. Takayasu's Arteritis-An Unusual Cause of Stroke in a Young Patient. Western J Emergency Med. 2012;13(6):484-7.

Firestein GS, Budd RC. Firestein and Kelleys Textbook of rheumatology. 11th edition. 2021.

Kim HJ, Suh DC, Kim JK, Kim SJ, Lee JH, Choi CG et al. Correlation of neurological manifestations of Takayasu’s arteritis with cerebral angiographic findings. Clin Imaging. 2005;29:79-85.

Kerr GS, Hallahan CW, Giordano J, Leavitt RY, Fauci AS, Rottem M et al. Takayasu arteritis. Ann Intern Med. 1994;120:919-29.

Chung-Yu W, Chih-Ju C, Cheng-Ta H. Stroke as an Initial Presentation of Takayasu’s Arteritis. Neurology Asia. 2015;20(2):177-80.

Gao P, Dmytriw AA. Contemporary Challenges of Acute Ischemic Stroke in Takayasu Arteritis. Stroke, 2020;51(10):280-84.

Abola MT. Takayasu Arteritis: Patient Profile and Outcomes. Philippine Heart Centerand Philippine General Hospital. 2016. Available at: http://philheart.org/documents/accabola.pdf. Accessed on 12 January, 2023.

Adams Jr HP. Takayasu Disease and Stroke. Practical Neurology: Unusual Cases of Stroke. 2020;58-61.

Sharma BK, Jain S, Suri S, Numano F. Diagnostic criteria for Takayasu arteritis. Int J Cardiol. 1996;54:S141-7.

Grayson PC, Ponte C, Suppiah R. For the DCVAS Study Group, et al2022 American College of Rheumatology/EULAR classification criteria for Takayasu arteritis. Annals Rheumatic Dis. 2022;81:1654-60.

Kim H, Barra L. Ischemic complications in Takayasu's arteritis: A Meta-analysis. Seminars in Arthritis Rheumatism. 2018;47(6):900-6.

Hwang J, Kim SJ, Bang OY, Chung CS, Lee KH, Kim DK, Kim GM. Ischemic stroke in Takayasu's arteritis: lesion patterns and possible mechanisms. J Clin Neurol (Seoul, Korea). 2012;8(2):109-15.

Downloads

Published

2023-05-29

How to Cite

Tee, J. A. S., Dan Neftalie A. Juangco, & Renato Dejan J. (2023). Recurrent stroke in Takayasu arteritis: a case report and review of literature. International Journal of Research in Medical Sciences, 11(6), 2273–2278. https://doi.org/10.18203/2320-6012.ijrms20231653

Issue

Section

Case Reports