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The Journal of Tehran University Heart Center، جلد ۱۱، شماره ۴، صفحات ۱۹۵-۱۹۷

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عنوان انگلیسی Takayasu’s Arteritis Presenting with Headache and Peripheral Facial Palsy: A Case Report
چکیده انگلیسی مقاله Takayasu’s arteritis (TA) is a rare case of granulomatous arteritis which mainly involves the aorta and its large branches. Although arterial hypertension is the most common feature of the disease in both adults and children, patients with TA may present with numerous clinical manifestations. Our patient was a 45-year-old woman, known to have hypertension from 3 years earlier following assessments made for severe headache. One year after the diagnosis of hypertension, she developed a left-sided lower motor neuron facial palsy, which was treated with oral corticosteroids (Prednisolone). Notably, the patient's headache was relieved after she took corticosteroid therapy. Transthoracic echocardiography revealed severe aortic insufficiency and aneurysmal changes in the ascending aorta, and she was referred to our center for further evaluation. In multi-slice computed-tomography angiography, significant long stenosis of the left subclavian artery was seen and the diameter of the ascending aorta was 50 mm. The patient underwent the Bentall operation. The pathologic examination of the aortic wall specimen was compatible with giant cell aortitis and more in favor of TA with the ascending aortic aneurysm. At 6months' follow-up, the patient was in good condition and had almost recovered from facial palsy. 
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نویسندگان مقاله | Maryam Sotoudeh Anvari
Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.


| Farzad Masoudkabir
Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.


| Kyomars Abbasi
Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.


| Mohammad Ali Boroumand
Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.


| Manijeh Zarghampour
Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.


| Hamidreza Goodarzynejad
Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.



نشانی اینترنتی http://jthc.tums.ac.ir/index.php/jthc/article/view/650
فایل مقاله اشکال در دسترسی به فایل - ./files/site1/rds_journals/65/article-65-1353639.pdf
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