Takayasu arteritis, manifested by convulsive syncope: a clinical case
https://doi.org/10.25789/YMJ.2020.71.32
Abstract
Takayasu arteritis (TA) has different clinical manifestations from asymptomatic to severe disease and can be complicated by neurological symptoms, but convulsive attacks in such patients are rarely registered. The presented clinical case demonstrates the difficulties of differential diagnosis of epileptic seizures and convulsive syncope in a rare course of Takayasu arteritis in a 19-year-old girl who treated recurrent paroxysms with impaired consciousness, convulsions and falls, motor automatism in the hands, which were regarded as pharmacoresistant epileptic attacks. Clinical examination showed severe arterial hypotension, and further examination revealed the diagnosis of non-specific aorto-arteritis.
About the Authors
E. V. EgorovaRussian Federation
V. V. Shabalin
Russian Federation
A. A. Usoltseva
Russian Federation
K. D. Yakovleva
Russian Federation
D. V. Dmitrenko
Russian Federation
References
1. Ayvazyan S. O. Non-epileptic paroxysmal states that mimic epilepsy in children / S. O. Ayvazyan // Epilepsy and paroxysmal states. – 2016. – №4. – P.23-33. DOI: 10.17749/2077-8333.2016.8.4.023-033.
2. Dmitrenko D.V. Observation of paroxysmal kinesiogenic dyskinesia in a 41-year-old woman / D.V. Dmitrenko, E.A Dontsova, I.G. Stotskaya // Ural medical journal. – 2016. – № 10. – P.21-25.
3. Schneider N.A. Videomonitoring of electroencephalography in epilepsy / N.A. Schneider // Siberian medical review. – 2016. – №2. – P.93-105.
4. Arrhythmogenic convulsive syncope in neurological practice: a case report / D.V. Dmitrenko [at el] // International Journal of Biomedicine. – 2018. – №1. – P.65-68. DOI: 10.21103/ Article8(1) CR1.
5. Bilateral ocular ischemia induced blindness as a presenting manifestation of Takayasu arteritis: a case report / P. Pallangyo [et al.] // J Med Case Rep. – 2017. – 11(1):153. DOI: 10.1186/s13256-017-1330-3
6. Correlation of neurological manifestations of Takayasu's arteritis with cerebral angiographic findings / H.J. Kim [et al.] // Clin Imaging. – 2005. – 29(2). – Р.79-85. DOI:10.1016/j.clinimag.2004.04.026
7. Espinoza J.L. New Insights on the Pathogenesis of Takayasu Arteritis: Revisiting the Microbial Theory / J.L. Espinoza, S. Ai, I. Matsumura // Pathogens. – 2018. – 7(3). DOI: 10.3390/pathogens7030073
8. Intracranial and extracranial neurovascular manifestations of takayasu arteritis / K.M. Bond [et al.] // AJNR Am J Neuroradiol. – 2017. – 38(4). – P. 766-772. DOI: 10.3174/ajnr.A5095.
9. Keser G. Takayasu arteritis: an update / G. Keser, K. Aksu, H. Direskeneli // Turk J Med. – 2018. – 48(4). – P. 681-697. DOI: 10.3906/sag1804-136.
10. Kim, E.S.H. Takayasu Arteritis: Challenges in Diagnosis and Management / E.S.H. Kim, J. Beckman // Heart. – 2018. – 104 (7). – P. 558- 565. DOI: 10.1136/heartjnl-2016-310848
11. Onen F. Epidemiology of Takayasu arteritis / F. Onen, N. Akkoc // Presse Med. – 2017. – 46(7-8 Pt 2). – P. 197-203. DOI: 10.1016/j.lpm.2017.05.034
12. Relationship of HLA-B*51 and HLA-B*52 alleles and TNF-α-308A/G polymorphism with susceptibility to Takayasu arteritis: A meta-analysis / S. Chen, H. Luan, L. Li [et al.] //Clin. Rheumatol. – 2017.– 36. – P. 173–181. DOI: 10.1007/s10067-016-3445-0.
13. Takayasu Arteritis Mistaken for Epilepsy: A Case Presenting With Convulsive Syncope / P. Pallangyo, N. Misidai, N. Hemed [et al.] // Journal of Medical Cases. – 2020. – 11. – P. 37-40. DOI: 10.14740/jmc3424.
14. Takayasu's arteritis – a comprehensive review / H.S.N. Setty, J.R. Vijaykumar, C.M. Nagesh [et al.] // J Rare Dis Res Treat. – 2017. – 2(2). – P. 63-68. DOI: 10.29245/2572-9411/2017/2.1048
15. Tian G. Takayasu arteritis presenting as isolated anterior ischemic optic neuropathy / G. Tian, Q. Chen, W. Wang // Int Ophthalmol. – 2018. – 38(2). – P. 823-828. DOI: 10.1007/s10792-017-0516-4.
Review
For citations:
Egorova E.V., Shabalin V.V., Usoltseva A.A., Yakovleva K.D., Dmitrenko D.V. Takayasu arteritis, manifested by convulsive syncope: a clinical case. Yakut Medical Journal. 2020;(3):127-130. (In Russ.) https://doi.org/10.25789/YMJ.2020.71.32










