Takayasu's arteritis presented with subarachnoid hemorrhage: Report of two cases

被引:8
作者
Kim, DS [1 ]
Kim, JK [1 ]
Yoo, DS [1 ]
Huh, PW [1 ]
Cho, KS [1 ]
Kang, JK [1 ]
机构
[1] Catholic Univ Korea, Coll Med, Uijongbu St Marys Hosp, Dept Neurosurg, Seoul, South Korea
关键词
Takayasu's arteritis; subarachnoid hemorrhage; blood sedimentation; aortography; diagnosis;
D O I
10.3346/jkms.2002.17.5.695
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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.
引用
收藏
页码:695 / 698
页数:4
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