AJDRAJNR - American Journal of Neuroradiology

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ARTICLE

The Acute Diagnosis of Takayasu's Arteritis Based on Helical CT Angiography of the Chest and Neck in the Emergency Room

Lisa Winer Pinheiroa, Suzanne D. LeBlang,a, Jose Romanoa and Alex Fortezaa

a From the Departments of Radiology (L.W.P., S.D.L.) and Neurology (J.R., A.F.), University of Miami School of Medicine, Miami, FL.

Summary: Recently, a young woman presented acutely with a left hemispheric stroke and differing blood pressures in the arms as her initial manifestation of Takayasu's arteritis. Helical CT angiography, performed to rule out aortic dissection, revealed a thickened wall of the aortic arch with stenoses and occlusions of the great vessels, suggesting the diagnosis. The sequence of imaging studies and findings in this unusually catastrophic presentation of a typically insidious disease are highlighted.