Resumo

MEZA-CAPCHA, Kelly J et al. Takayasu arteritis: An unusual etiology of ischemic stroke. A case report. Rev Neuropsiquiatr [online]. 2016, vol.79, n.4, pp.282-287. ISSN 0034-8597.  http://dx.doi.org/10.20453/rnp.v79i4.2985.

Takayasu arteritis (TA) is a chronic large vessel vasculitis that affects the aorta and its main branches. The initial clinical presentation is generally with non-specific constitutional symptoms, but occasionally it may debut with a particular organ ischemia. We report the case of a 31-year-old woman, who presented suddenly a motor deficit in the right hemibody and language impairment. Physical examination revealed the lack of a pulse in a distal artery and the difference in blood pressure between upper limbs. Digital subtraction angiography showed occlusion of the left subclavian artery and left common carotid artery and severe stenosis of the right subclavian artery in the middle portion. AT was diagnosed according to the diagnostic criteria of the American College of Rheumatologists, 1990. The patient received medical treatment and rehabilitation with good response. AT as an etiologic possibility should be considered in all young patients who have a stroke. Early diagnosis is crucial because this pathology is sensitive to medical treatment and it is associated with good clinical results.

Palavras-chave : Takayasu arteritis; cerebral infarction; cerebral arterial diseases.

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