Stroke as a Manifestation of Takayasus Arteritis Likely due to Distal Carotid Stump Embolism
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概要
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The clinical symptoms of Takayasus arteritis (TA), which mainly affects the aorta and major aortic branches, vary widely depending on the site and degree of arterial lesions. We present herein the case of a young man whose initial symptom was pulmonary artery occlusion and who manifested TA 6 years later as cerebral embolism. Angiography confirmed bilateral common carotid artery (CCA) occlusion and a well-developed collateral circulation. The stump of the occluded CCA has both proximal and distal ends. The possibility of emboli from the occluded CCA (distal stump) seems to be the most probable explanation, as turbulent flow was detected at distal stump on color Doppler sonography. The carotid stump can be a potential source of emboli in TA as well as in atherosclerosis.
著者
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Tanahashi Norio
Department Of Anesthesiology Osaka University Medical School
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Furuya Daisuke
Department Of Neurology Saitama Medical School
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Fukuoka Takuya
Department Of Marine Biotechnology Faculty Of Engineering Fukuyama University
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Takeda Hidetaka
Department Of Neurology School Of Medicine Keio University
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Dembo Tomohisa
Department Of Neurology School Of Medicine Keio University
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Kato Yuji
Department Of Agricultural Chemistry Faculty Of Agriculture Tohoku University
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Tanahashi Norio
Department of Neurology and Cerebrovascular Medicine, Saitama International Medical Center, Saitama Medical University
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Nagoya Harumitsu
Department of Neurology and Cerebrovascular Medicine, Saitama International Medical Center, Saitama Medical University
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Deguchi Ichiro
Department of Neurology and Cerebrovascular Medicine, Saitama International Medical Center, Saitama Medical University
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Maruyama Hajime
Department of Neurology and Cerebrovascular Medicine, Saitama International Medical Center, Saitama Medical University
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Dembo Tomohisa
Department of Neurology and Cerebrovascular Medicine, Saitama International Medical Center, Saitama Medical University
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