| Takayasu arteritis with intracranial involvement mimicking epilepsy: case report and review of the literature. | |
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MedLine Citation:
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PMID: 21673474 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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The symptoms of Takayasu arteritis (TA) are related to end organ ischemia. Here we present a patient with convulsions and intracranial involvement. A 15-year-old young woman was admitted with the complaint of convulsions since one and a half months previously. Her physical examination showed absent pulses and unobtainable blood pressure in both arms. Electroencephalography was normal. An arcus aorto-abdominal aortography, performed for TA prediagnosis, revealed that the subclavian artery ended as a stump at its origin on the right and was occluded by tapering on the left. Arcus aorta was normal. The right renal artery was occluded up to 80-90%. Magnetic resonance imaging of the brain revealed abnormal signal intensity in the deep white matter bilaterally. Cerebral catheter angiography showed focal stenosis of cerebral vessels; it was classified as type V according to the classification of the Takayasu Conference of 1994. A diagnosis of TA was made and 1 mg/kg steroid was given, and after a month methotrexate (15 mg/week) was added. On the tenth treatment day her pulse could be revealed. During the control period she had no convulsion. In young patients TA should be kept in mind as a rare cause in convulsion etiology. Intracranial involvement of TA must be evaluated especially if there is a headache and convulsion. |
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Authors:
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Zahit Bolaman; Irfan Yavasoglu; Gurhan Kadikoylu; Mustafa Unubol; Kutsi Koseoglu; Ali Akyol |
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Publication Detail:
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Type: Journal Article Date: 2011-06-15 |
Journal Detail:
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Title: Internal medicine (Tokyo, Japan) Volume: 50 ISSN: 1349-7235 ISO Abbreviation: Intern. Med. Publication Date: 2011 |
Date Detail:
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Created Date: 2011-06-15 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9204241 Medline TA: Intern Med Country: Japan |
Other Details:
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Languages: eng Pagination: 1345-8 Citation Subset: IM |
Affiliation:
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Division of Hematology, Adnan Menderes University Medical Faculty, Turkey. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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