Document Detail


Stroke as a manifestation of Takayasu's arteritis likely due to distal carotid stump embolism.
MedLine Citation:
PMID:  20371961     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The clinical symptoms of Takayasu's arteritis (TA), which mainly affects the aorta and major aortic branches, vary widely depending on the site and degree of arterial lesions. We present herein the case of a young man whose initial symptom was pulmonary artery occlusion and who manifested TA 6 years later as cerebral embolism. Angiography confirmed bilateral common carotid artery (CCA) occlusion and a well-developed collateral circulation. The stump of the occluded CCA has both proximal and distal ends. The possibility of emboli from the occluded CCA (distal stump) seems to be the most probable explanation, as turbulent flow was detected at distal stump on color Doppler sonography. The carotid stump can be a potential source of emboli in TA as well as in atherosclerosis.
Authors:
Yuji Kato; Tomohisa Dembo; Hidetaka Takeda; Takuya Fukuoka; Harumitsu Nagoya; Ichiro Deguchi; Hajime Maruyama; Daisuke Furuya; Norio Tanahashi
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-04-01
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  49     ISSN:  1349-7235     ISO Abbreviation:  Intern. Med.     Publication Date:  2010  
Date Detail:
Created Date:  2010-04-07     Completed Date:  2010-11-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  695-9     Citation Subset:  IM    
Affiliation:
Department of Neurology and Cerebrovascular Medicine, Saitama International Medical Center, Saitama Medical University, Saitama. yujik@saitama-med.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Adult
Carotid Artery Diseases / complications,  diagnosis*,  physiopathology
Diagnosis, Differential
Embolism / complications,  diagnosis,  physiopathology
Humans
Male
Stroke / diagnosis*,  etiology,  physiopathology
Takayasu Arteritis / diagnosis*,  etiology,  physiopathology

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