J Korean Med Sci.  2002 Oct;17(5):695-698. 10.3346/jkms.2002.17.5.695.

Takayasu's Arteritis Presented with Subarachnoid Hemorrhage: Report of Two Cases

• Kim DS
• Kim JK
• Yoo DS
• Huh PW
• Cho KS
• Kang JK

• KMID: 1127266
• DOI: http://doi.org/10.3346/jkms.2002.17.5.695

Abstract

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.

Keyword

Takayasu's Arteritis; Subarachnoid Hemorrhage; Blood Sedimentation; Aortography; Diagnosis

MeSH Terms

Adult
Cerebral Angiography
Cerebrovascular Disorders/complications/diagnosis
Female
Humans
Subarachnoid Hemorrhage/*complications/diagnosis
Takayasu Arteritis/*complications/diagnosis
Tomography, X-Ray Computed