TAILIEUCHUNG - báo cáo khoa học: "Takayasu’s disease presenting as convulsive syncope which had been misinterpreted as epilepsy: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Takayasu’s disease presenting as convulsive syncope which had been misinterpreted as epilepsy: a case report | Menon and Himabindu Journal of Medical Case Reports 2010 4 352 http content 4 1 352 jAg JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Takayasu s disease presenting as convulsive syncope which had been misinterpreted as epilepsy a case report Bindu Menon A Himabindu Abstract Introduction Takayasu 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 presentation A 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. Conclusion Our 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. Introduction Takayasu s arteritis TA is an inflammatory and stenotic disease of medium-sized and large-sized arteries characterized by a strong predilection for the aortic arch and its branches. Symptoms of the disease start with non-specific constitutional symptoms in the first stage to organ specific ischemic symptoms in the second stage. Occasionally there is no clear demarcation between stages and diagnosis can be difficult in such a setting. We report the case of a 19-year-old woman who was referred to our neurology out-patient department for recurrent episodes of loss of consciousness and systemic constitutional symptoms. Case presentation A 19-year-old Asian woman was referred to the department of

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