Diagnostic Inexperience of Takayasu Arteritis in Pediatric Neurology: A Case Report and Mini-Review of the Literature

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dc.contributor.authorÇokyaman, Turgay
dc.contributor.authorSınmaz, Yücel
dc.contributor.authorAylanç, Nilüfer
dc.contributor.authorAkıncı, Ayşe Burcu
dc.contributor.authorSözeri, Betül
dc.date.accessioned2025-01-27T19:22:55Z
dc.date.available2025-01-27T19:22:55Z
dc.date.issued2023
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractTakayasu arteritis (TA) is a chronic inflammatory vasculitis involving the aorta and its main branches. It usually starts with systemic inflammatory signs after ten years of age. Neurological symptoms seen depend on aneurysmatic, stenotic and thromboembolic events in the affected vessels. It is rarely seen in childhood and presentation with epileptic seizure is extremely rare in infantile age. In this case report, a 22-month-old child who was admitted with epileptic seizure and had a large infarction in the area matching the right middle cerebral artery (MCA) watershed. Symptoms and imaging findings due to infarction developed hours after epileptic seizure. First, low molecular weight heparin treatment was started. Following the development of multiple aneurysmatic-stenotic lesions in the left brachial artery and profunda branch, diagnosed as TA. It was added to oral steroid and azathioprine. Resistant seizures were controlled with levetiracetam and valproic acid in the poststroke period. Multidisciplinary follow-up is ongoing with anticoagulant, antiepileptic and immunosuppressive treatments. TA rarely occurs in the infantile period with acute neurological symptoms such as epileptic seizure and stroke. It is important to make diagnosis early in order to reduce the neurological comorbidities that may occur in the long term.
dc.identifier.doi10.20515/otd.1176704
dc.identifier.endpage141
dc.identifier.issn1305-4953
dc.identifier.issn2587-1579
dc.identifier.issue1
dc.identifier.startpage135
dc.identifier.trdizinid1197414
dc.identifier.urihttps://doi.org/10.20515/otd.1176704
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1197414
dc.identifier.urihttps://hdl.handle.net/20.500.12428/15290
dc.identifier.volume45
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.relation.ispartofOsmangazi Tıp Dergisi
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_TRD_20250125
dc.subjectNörolojik Bilimler
dc.subjectPediatri
dc.titleDiagnostic Inexperience of Takayasu Arteritis in Pediatric Neurology: A Case Report and Mini-Review of the Literature
dc.typeArticle

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