Davari Paran, Sutton Paige, Jones Kimberly S
University of Kentucky College of Medicine, 800 Rose Street, MN 150, Lexington, KY 40506, USA.
University of Kentucky, Department of Neurology, UK Medical Center MN 150, Lexington KY, USA.
Radiol Case Rep. 2020 Mar 17;15(5):556-559. doi: 10.1016/j.radcr.2019.12.019. eCollection 2020 May.
In this study, we report the case of a pediatric neurology stroke patient who was ultimately diagnosed with Takayasu's Arteritis. Our case describes a 14-year-old Hispanic female with no significant past medical history who presented to an outside hospital for acute onset of confusion and right sided weakness. She was given tissue plasminogen activator (TPA) at the outside hospital and transferred as a stroke alert. Initial The NIH stroke scale (NIHSS) was 12 with primarily right sided symptoms. Physical exam was also significant for asymmetric pulses and blood pressures. Imaging was significant for multifocal stenosis. She was ultimately diagnosed with Takayasu's arteritis and treated with a multidisciplinary approach including pediatrics, neurology and rheumatology. This case represents an important differential diagnosis for pediatric stroke patients including those who have stroke as the presenting symptom of this systemic disease.
在本研究中，我们报告了一例儿科神经科中风患者，最终被诊断为大动脉炎。我们的病例描述了一名14岁的西班牙裔女性，既往无重大病史，因急性起病的意识模糊和右侧肢体无力就诊于外院。她在外院接受了组织型纤溶酶原激活剂（TPA）治疗，并作为中风警报患者被转诊。最初的美国国立卫生研究院卒中量表（NIHSS）评分为12分，主要为右侧症状。体格检查还发现脉搏和血压不对称。影像学检查显示多灶性狭窄。她最终被诊断为大动脉炎，并采用包括儿科、神经科和风湿科在内的多学科方法进行治疗。该病例代表了儿科中风患者的重要鉴别诊断，包括那些以中风作为这种全身性疾病首发症状的患者。
