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Turk Beyin Damar Hastaliklar Dergisi, vol.14, no.2, pp.57-61, 2008 (Scopus)
Scientific background: Takayasu's Arteritis is a chronic inflammatory disease that affects the aorta and its major branchs. And also it is proposed that it was a cell mediated autoimmune disease. Organ ischemia may be seen in the disease progress. In the latest stage of disease, resulting from cerebral ischemia neurological manifestations occur. Neurological features are major causes of increasing mortality and morbidity. Case: A 38 years old woman admitted to hospital with the complaint of weakness at leftside of her body. Blood pressure from right arm was lower than that of left arm and Brachial artery pulse was found weakened at right arm. She was disartric, had left central facial palcy and motor strength of 4/5 from left upper and lower limbs. Babinski sign was positive on the left side. With findings of computerized brain tomography, diagnosis of ischemic stroke was made. Digital substracting angiography showed extremely narrowed right internal carotid artery. We thought takayasu's arteritis as the aetiology of ischemic stroke with the findings of physical and neurological examination and imaging studies. Conclusion: Ischemic stroke is one of the most serious symptom of TA and is an important contributor to patient mortality. The reported frequency is from 8 % to 35 %. Rarely TA may be presented with ischemic stroke. In the case of young woman with acute ischemic stroke and no aetiological explanation, we should remind vasculitis especially Takayasu's arteritis.