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Recurrent hemi-hypoesthesia in a young patient: A clinical challenge

Authors:	Nuno Mendonça Cátia Duarte Gustavo Cordeiro Luís Cunha

Institution:	1. Department of Neurology, University Hospital of Coimbra, Coimbra, Portugal;2. Department of Rheumatology, University Hospital of Coimbra, Coimbra, Portugal;1. Division of Neuroradiology, Santa Casa de Misericórdia de São Paulo, Rua Cesário Motta Júnior, 112, Vila Buarque, São Paulo, São Paulo 01221-020, Brazil;2. Division of Neuroradiology, MEDIMAGEM - Hospital da Beneficência Portuguesa de São Paulo, Rua Luiz Gottschalk, 151, Apartment 111 MS, Vila Mariana, São Paulo, São Paulo 04008-070, Brazil;3. Division of Neuroradiology, Fleury Medicina e Saúde, Rua Cincinato Braga, 282, Bela Vista, São Paulo, São Paulo 01333-010, Brazil;1. Lund University, Sweden;2. Istanbul University, Turkey;3. Ludwigs Maximilians University, Germany;1. Ege University School of Medicine, Department of Psychiatry, Turkey;2. Ege University School of Medicine, Department of Medical Biology, Turkey;1. Duzce University School of Medicine, Department of Neurology, Duzce, Turkey;2. Canakkale Onsekiz Mart University School of Medicine, Department of Psychiatry, Canakkale, Turkey;3. Canakkale Onsekiz Mart University School of Medicine, Department of Public Health, Canakkale, Turkey;4. Akdeniz University School of Medicine, Department of Psychiatry, Antalya, Turkey;1. Diagnostic Imaging and Radiotherapy Program, School of Diagnostic & Applied Health Sciences, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300 Kuala Lumpur, Malaysia;2. Department of Psychology and fMRIotago, University of Otago, William James Building, 275 Leith Walk, Dunedin 9016, New Zealand;3. Audiology Program, School of Rehabilitation Sciences, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300 Kuala Lumpur, Malaysia;1. Department of Child and Adolescent Psychiatry, Van Yuzuncu Yil University School of Medicine, Van, Turkey;2. Department of Psychiatry, Uskudar State Hospital, Istanbul, Turkey;3. Department of Child and Adolescent Psychiatry, Istanbul University Cerrahpa?a Medical Faculty, Istanbul, Turkey

Abstract:	Takayasu’s arteritis (TA) is a chronic inflammatory disease of unknown etiology characterized by granulomatous vasculitis of medium and large arteries, principally the aorta and its branches. It is a rare disorder but neurological manifestations are common.The authors present a case of a 39-year-old woman that presented with several episodes of hemi-hypoesthesia that lasted several days and coursed with complete recovery. She had already preliminary workup for most neurological diseases that presented at her age range that had been normal.We emphasize in this clinical case the atypical presentation of TA with neurological symptoms of somewhat vague and prolonged course with a negative preliminary workup. We believe it is important to keep a high index of suspicion in such cases.

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