An unusual cause of stroke in a young female
Takayasu arteritis is a granulomatous vasculitis of medium- to large-sized arteries. Initial presentation is usually with nonspecific constitutional symptoms, but unusually, it can present with acute ischemic features in the advanced disease. We present a case of a young Asian female who presented w...
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Veröffentlicht in: | The American journal of emergency medicine 2014-06, Vol.32 (6), p.685.e3-685.e5 |
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container_title | The American journal of emergency medicine |
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creator | Humayun, Malik Asif, FCPS, MRCP Masood, Adnan, FCPS Waseem, Tariq, FCPS Ahmad, Farina, MBBS Raza, Tanzeem, MSc, FRCP |
description | Takayasu arteritis is a granulomatous vasculitis of medium- to large-sized arteries. Initial presentation is usually with nonspecific constitutional symptoms, but unusually, it can present with acute ischemic features in the advanced disease. We present a case of a young Asian female who presented with acute stroke due to Takayasu arteritis. Involvement of proximal arteries was a source of embolism, which was the most likely cause of stroke in this patient. Patient made a good clinical recovery with a combination of medical treatment and rehabilitation. Takayasu arteritis should be considered as a possibility in all young patients presenting with stroke, as this is fairly responsive to medical management and associated with good clinical outcomes. |
doi_str_mv | 10.1016/j.ajem.2013.11.039 |
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Initial presentation is usually with nonspecific constitutional symptoms, but unusually, it can present with acute ischemic features in the advanced disease. We present a case of a young Asian female who presented with acute stroke due to Takayasu arteritis. Involvement of proximal arteries was a source of embolism, which was the most likely cause of stroke in this patient. Patient made a good clinical recovery with a combination of medical treatment and rehabilitation. 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Initial presentation is usually with nonspecific constitutional symptoms, but unusually, it can present with acute ischemic features in the advanced disease. We present a case of a young Asian female who presented with acute stroke due to Takayasu arteritis. Involvement of proximal arteries was a source of embolism, which was the most likely cause of stroke in this patient. Patient made a good clinical recovery with a combination of medical treatment and rehabilitation. 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subjects | Adult Blood pressure Cardiovascular disease Carotid Artery, Common - diagnostic imaging Disease prevention Embolisms Emergency Emergency medical care Female Females Humans Hypertension Magnetic Resonance Angiography Medical imaging Medical prognosis Medical treatment Patients Radiology Rehabilitation Stroke Stroke - diagnosis Stroke - diagnostic imaging Stroke - etiology Takayasu Arteritis - complications Tomography Tomography, X-Ray Computed Young adults |
title | An unusual cause of stroke in a young female |
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