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Case Reports
. 2023 May 28;11(6):e7412.
doi: 10.1002/ccr3.7412. eCollection 2023 Jun.

Ischemic stroke at first presentation of Takayasu arteritis in a young African male from Kenya, East Africa: Case report and brief literature review

Christopher Owino  1 , Betty Sirera  2 , Felix Tarus  2 , Beryl Ganda  2 , Chrispine Oduor  1 , Abraham Siika  1
Affiliations
Case Reports

Ischemic stroke at first presentation of Takayasu arteritis in a young African male from Kenya, East Africa: Case report and brief literature review

Christopher Owino et al. Clin Case Rep. .

Abstract

Key clinical message: This case highlights the need for thorough clinical examination to rule out Takayasu arteritis (TA) as a cause of stroke in a young asymptomatic East-African male. Available clinical management guidelines should guide management of TA patients.

Abstract: We present a case of a young, previously asymptomatic East-African Black male presenting with large territory ischemic infarct at first diagnosis of TA. To our knowledge, this is the first published report of a male patient in East Africa with a stroke as the first presentation of TA.

Keywords: Takayasu arteritis; cerebrovascular accident; stroke; vasculitis.

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

FIGURE 1
FIGURE 1
Non‐contrast CT scan of the head showing a left fronto‐temporal hypodensity consistent with an ischemic infarct (white arrow).
FIGURE 2
FIGURE 2
CT angiogram reconstruction image shows reduced caliber of the right carotid artery (small blue arrow) as it branches of the brachiocephalic artery as compared to the right vertebral artery branching off the right subclavian artery (white arrow). The large blue arrow shows a fully occluded left carotid artery and subclavian artery with no visible blood flow on angiography with only the left vertebral artery present.
FIGURE 3
FIGURE 3
Reconstructed CT angiogram image shows visible right axillary artery (white arrow) with absent (occluded) left axillary artery (blue arrow).
See this image and copyright information in PMC

References

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