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Takayasu’s Arteritis Presenting with Headache and Peripheral Facial Palsy: A Case Report
Takayasu’s arteritis (TA) is a rare case of granulomatous arteritis which mainly involves the aorta and its large branches. Although arterial hypertension is the most common feature of the disease in both adults and children, patients with TA may present with numerous clinical manifestations. Our pa...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Tehran University of Medical Sciences, 2006-
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5424842/ https://www.ncbi.nlm.nih.gov/pubmed/28496512 |
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author | Sotoudeh Anvari, Maryam Masoudkabir, Farzad Abbasi, Kyomars Boroumand, Mohammad Ali Zarghampour, Manijeh Goodarzynejad, Hamidreza |
author_facet | Sotoudeh Anvari, Maryam Masoudkabir, Farzad Abbasi, Kyomars Boroumand, Mohammad Ali Zarghampour, Manijeh Goodarzynejad, Hamidreza |
author_sort | Sotoudeh Anvari, Maryam |
collection | PubMed |
description | Takayasu’s arteritis (TA) is a rare case of granulomatous arteritis which mainly involves the aorta and its large branches. Although arterial hypertension is the most common feature of the disease in both adults and children, patients with TA may present with numerous clinical manifestations. Our patient was a 45-year-old woman, known to have hypertension from 3 years earlier following assessments made for severe headache. One year after the diagnosis of hypertension, she developed a left-sided lower motor neuron facial palsy, which was treated with oral corticosteroids (Prednisolone). Notably, the patient's headache was relieved after she took corticosteroid therapy. Transthoracic echocardiography revealed severe aortic insufficiency and aneurysmal changes in the ascending aorta, and she was referred to our center for further evaluation. In multi-slice computed-tomography angiography, significant long stenosis of the left subclavian artery was seen and the diameter of the ascending aorta was 50 mm. The patient underwent the Bentall operation. The pathologic examination of the aortic wall specimen was compatible with giant cell aortitis and more in favor of TA with the ascending aortic aneurysm. At 6months' follow-up, the patient was in good condition and had almost recovered from facial palsy. |
format | Online Article Text |
id | pubmed-5424842 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Tehran University of Medical Sciences, 2006- |
record_format | MEDLINE/PubMed |
spelling | pubmed-54248422017-05-11 Takayasu’s Arteritis Presenting with Headache and Peripheral Facial Palsy: A Case Report Sotoudeh Anvari, Maryam Masoudkabir, Farzad Abbasi, Kyomars Boroumand, Mohammad Ali Zarghampour, Manijeh Goodarzynejad, Hamidreza J Tehran Heart Cent Case Report Takayasu’s arteritis (TA) is a rare case of granulomatous arteritis which mainly involves the aorta and its large branches. Although arterial hypertension is the most common feature of the disease in both adults and children, patients with TA may present with numerous clinical manifestations. Our patient was a 45-year-old woman, known to have hypertension from 3 years earlier following assessments made for severe headache. One year after the diagnosis of hypertension, she developed a left-sided lower motor neuron facial palsy, which was treated with oral corticosteroids (Prednisolone). Notably, the patient's headache was relieved after she took corticosteroid therapy. Transthoracic echocardiography revealed severe aortic insufficiency and aneurysmal changes in the ascending aorta, and she was referred to our center for further evaluation. In multi-slice computed-tomography angiography, significant long stenosis of the left subclavian artery was seen and the diameter of the ascending aorta was 50 mm. The patient underwent the Bentall operation. The pathologic examination of the aortic wall specimen was compatible with giant cell aortitis and more in favor of TA with the ascending aortic aneurysm. At 6months' follow-up, the patient was in good condition and had almost recovered from facial palsy. Tehran University of Medical Sciences, 2006- 2016-10-03 /pmc/articles/PMC5424842/ /pubmed/28496512 Text en Copyright © 2015 Tehran Heart Center, Tehran University of Medical Sciences This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Sotoudeh Anvari, Maryam Masoudkabir, Farzad Abbasi, Kyomars Boroumand, Mohammad Ali Zarghampour, Manijeh Goodarzynejad, Hamidreza Takayasu’s Arteritis Presenting with Headache and Peripheral Facial Palsy: A Case Report |
title | Takayasu’s Arteritis Presenting with Headache and Peripheral Facial Palsy: A Case Report |
title_full | Takayasu’s Arteritis Presenting with Headache and Peripheral Facial Palsy: A Case Report |
title_fullStr | Takayasu’s Arteritis Presenting with Headache and Peripheral Facial Palsy: A Case Report |
title_full_unstemmed | Takayasu’s Arteritis Presenting with Headache and Peripheral Facial Palsy: A Case Report |
title_short | Takayasu’s Arteritis Presenting with Headache and Peripheral Facial Palsy: A Case Report |
title_sort | takayasu’s arteritis presenting with headache and peripheral facial palsy: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5424842/ https://www.ncbi.nlm.nih.gov/pubmed/28496512 |
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