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

Joyce Angelie S. Tee; Dan Neftalie A. Juangco; Renato Dejan J.

doi:10.18203/2320-6012.ijrms20231653

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.

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