The Acute Diagnosis of Takayasu's Arteritis Based on Helical CT Angiography of the Chest and Neck in the Emergency Room

Recently, a young woman presented acutely with a left hemispheric stroke and differing blood pressures in the arms as her initial manifestation of Takayasu's arteritis. Helical CT angiography, performed to rule out aortic dissection, revealed a thickened wall of the aortic arch with stenoses an...

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Bibliographic Details
Published in:American journal of neuroradiology : AJNR 1999-11, Vol.20 (10), p.1983-1985
Main Authors: Pinheiro, Lisa Winer, LeBlang, Suzanne D, Romano, Jose, Forteza, Alex
Format: Article
Language:English
Subjects:
Acute Disease
Adult
Angiography
Aortic Diseases - diagnostic imaging
Biological and medical sciences
Diagnosis, Differential
Emergencies
Emergency Service, Hospital
Female
Head and Neck
Humans
Medical sciences
Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis
Stroke - diagnostic imaging
Takayasu Arteritis - diagnostic imaging
Tomography, X-Ray Computed
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Summary:Recently, a young woman presented acutely with a left hemispheric stroke and differing blood pressures in the arms as her initial manifestation of Takayasu's arteritis. Helical CT angiography, performed to rule out aortic dissection, revealed a thickened wall of the aortic arch with stenoses and occlusions of the great vessels, suggesting the diagnosis. The sequence of imaging studies and findings in this unusually catastrophic presentation of a typically insidious disease are highlighted.
ISSN:0195-6108
1936-959X