An unusual clinical manifestation of Takayasu's arteritis: spinal cord compression.
Takayasu's arteritis is a chronic inflammatory vasculitis, involving mainly the aorta and its main branches and the pulmonary arteries, with characteristic of stenotic and occasionally dilated lesions. Neurologic manifestations of Takayasu's arteritis range from simple headache to catastrophic neurologic impairments, including visual loss, stroke and transient ischemic attack. However, spinal cord compression has never been described as a complication of Takayasu's arteritis. We describe a case of Takayasu's arteritis complicated by spinal cord compression due to thoracolumbar inflammatory epiduritis.
Kim
Hyoun-Ah
HA
Department of Allergy and Rheumatology, Ajou University School of Medicine, Woncheon-dong San-5, Youngtong-gu, Suwon 443-721, Republic of Korea.
Kim
Jang-Hee
JH
Won
Je-Hwan
JH
Suh
Chang-Hee
CH
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001379:Azathioprine / Q000627:therapeutic use; D003520:Cyclophosphamide / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D004824:Epidural Space / Q000473:pathology*; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008159:Lumbar Vertebrae; D008875:Middle Aged; D009494:Neurosyphilis / Q000150:complications / Q000188:drug therapy / Q000473:pathology; D010406:Penicillins / Q000627:therapeutic use; D011239:Prednisolone / Q000627:therapeutic use; D013117:Spinal Cord Compression / Q000175:diagnosis* / Q000209:etiology; D013625:Takayasu Arteritis / Q000150:complications / Q000175:diagnosis*; D013904:Thoracic Vertebrae; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D005938:Glucocorticoids; D007166:Immunosuppressive Agents; D010406:Penicillins; D003520:Cyclophosphamide; D011239:Prednisolone; D001379:Azathioprine