Takayasu Arteritis Presenting As Epileptic Seizure: A Case Report

Cureus. 2022 Jul 2;14(7):e26520. doi: 10.7759/cureus.26520. eCollection 2022 Jul.

Abstract

Takayasu's arteritis is a chronic granulomatous large-vessel vasculitis condition that affects the large and medium-sized arteries, primarily the heart and its major vessels. The first symptoms and indicators of Takayasu arteritis differ because the afflicted arteries are heterogeneous. Furthermore, vascular lesions might be difficult to identify at first, further complicating diagnosis. Takayasu arteritis presenting as epileptic seizures is rare. Here, we discuss a 20-year-old female who presented with a brief period of unresponsiveness, followed by a tonic stiffening, limb jerks, a postictal period of fatigue, and temporal memory loss. During the acute phase of Takayasu arteritis, high-dose glucocorticoid therapy and immunosuppressive therapy were used to control inflammatory reactions. Her symptoms gradually improved, and she was discharged from the hospital after serial monitoring; her follow-up visits revealed no recurrence.

Keywords: cns manifestations; granulomatous vasculitis; ocular ischemic syndrome; pulseless disease; takayasu arteritis; transient ischemic attacks; vascular disease; vasculitis.

Publication types

  • Case Reports