Takayasu arteritis

Case contributed by Dr. Mario Soto Dien

Presentation

Headache, dizziness and phosphenes

Patient Data

Age: 25 years
Gender: Female

Common/internal carotid artery

ultrasound

Homogeneous circumferential thickening

Occlusions

Vascular dilatation 

Increased flow velocity distal to the area of ​​stenosis (normal PSV at ICA <125 cm/s)

Case Discussion

Takayasu arteritis is an idiopathic vascular pathology, that affects large vessels and mostly young women 1.

Initially it is clinically non-specific, and biopsy is rarely feasible, so imaging studies play a key role in diagnosis 2.

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