Takayasu's arteritis presented with subarachnoid hemorrhage: report of two cases.
Takayasu's arteritis is a chronic inflammatory disease that produces a narrowing of the aorta and its major branches. Fibrosis and thickening of the arterial wall often occur in later stages, resulting in a cerebrovascular accident. The authors report two young women patients who presented with subarachnoid hemorrhage (SAH) and occlusive cerebrovasular disease associated with Takayasu's arteritis. Both patients had sudden headache and hemiparesis. Physical examination showed weak radial pulse, carotid bruit, and asymmetrical blood pressure. Erythrocyte sedimentation rate (ESR) was elevated in both patients. SAH was confirmed by brain computerized tomography (CT) or lumbar puncture. Occlusive cerebrovascular disease was diagnosed by brain magnetic resonance imaging (MRI), brain magnetic resonance angiography (MRA), and cerebral angiography. The findings of aortography and cerebral angiography were compatible with Takayasu's arteritis, but intracranial aneurysm was not found in either patient.
Kim
Dal Soo
DS
Department of Neurosurgery, Uijongbu St. Mary 's Hospital, The Catholic University of Korea, College of Medicine, Seoul, Korea.
Kim
Jae Keon
JK
Yoo
Do Sung
DS
Huh
Phil Woo
PW
Cho
Kyuong Suck
KS
Kang
Joon Ki
JK
D000328:Adult; D002533:Cerebral Angiography; D002561:Cerebrovascular Disorders / Q000150:complications / Q000175:diagnosis; D005260:Female; D006801:Humans; D013345:Subarachnoid Hemorrhage / Q000150:complications* / Q000175:diagnosis; D013625:Takayasu Arteritis / Q000150:complications* / Q000175:diagnosis; D014057:Tomography, X-Ray Computed