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Journal of Medical Case Reports

, 4:352

First Online: 02 November 2010Received: 23 October 2009Accepted: 02 November 2010DOI: 10.1186-1752-1947-4-352

Cite this article as: Menon, B. & Himabindu, A. J Med Case Reports 2010 4: 352. doi:10.1186-1752-1947-4-352

Abstract

IntroductionTakayasu-s arteritis is a chronic vasculitis mainly involving the aorta and its main branches. The disease has protean clinical manifestation ranging from asymptomatic to catastrophic illness.

Case presentationA 19-year-old woman of Asian origin was referred to our neurology out-patient department for the management of refractory seizures. She reported several episodes of a loss of consciousness with tonic posturing when she assumed an upright position, which was accompanied by constitutional symptoms. A clinical examination showed orthostatic hypotension and an investigation confirmed the diagnosis of Takayasu-s disease with presentation as convulsive syncope.

ConclusionOur case highlights the importance of a thorough clinical history and physical examination in order to distinguish events mimicking epileptic seizure. We also describe an unusual presentation of Takayasu-s disease with convulsive syncope and systemic constitutional symptoms.

Electronic supplementary materialThe online version of this article doi:10.1186-1752-1947-4-352 contains supplementary material, which is available to authorized users.

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Autor: Bindu Menon - A Himabindu

Fuente: https://link.springer.com/







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