Masivni moždani udar u mladog bolesnika kao manifesta cija Takayasuovog arteritisa

Mónica Fernandes-Pineda, Luis Fernando Medina-Quintero

Takayasu’s arteritis (TA) is a less common type of large vessel vasculitis associated with inflammation of the wall of the aorta and its major branches. Patients with Takayasu’s arteritis are at risk of developing neurological complications, such as cerebrovascular ischemic events. In this paper, we present a case of a male in his mid-fifties with no prior medical history, who abruptly developed right-sided hemiplegia and motor aphasia. Brain and neck angiography revealed an infarction in the territory of the left middle cerebral artery, along with a substantial occlusion of the left common carotid artery and left subclavian artery. The patient was diagnosed with Takayasu’s arteritis. The occurrence of stroke in young patients should include, among the differential diagnoses, rheumatological diseases such as Takayasu’s arteritis. A prompt diagnosis can lead to early treatment and reduced complications.

Takayasuov arteritis (TA) rjeđi je tip vaskulitisa velikih krvnih žila povezan s upalom stijenke aorte i njezinih glavnih ogranaka. Bolesnici s Takayasuovim arteritisom izloženi su riziku od neuroloških komplikacija, poput cerebrovaskularnih ishemijskih događaja. U ovom radu predstavljamo slučaj muškarca u srednjim pedesetim godinama bez prethodne povijesti bolesti, koji je naglo razvio desnu hemiplegiju i motoričku afaziju. Angiografija mozga i vrata otkrila je infarkt u području lijeve srednje mozgovne arterije, zajedno sa značajnom okluzijom lijeve zajedničke karotidne arterije i lijeve potključne arterije. Bolesniku je dijagnosticiran Takayasuov arteritis. U slučaju moždanog udara u bolesnika mlađe dobi među diferencijalne dijagnoze treba uključiti i reumatološke bolesti kao što je Takayasuov arteritis. Brza dijagnoza može dovesti do ranog liječenja i manjeg broja komplikacija.