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An unusual clinical manifestation of Takayasu's arteritis: Spinal cord compression
Authors:Hyoun-Ah Kim  Jang-Hee Kim  Je-Hwan Won  Chang-Hee Suh
Institution:1. Department of Allergy and Rheumatology, Ajou University School of Medicine, Woncheon-dong San-5, Youngtong-gu, Suwon 443-721, Republic of Korea;2. Department of Pathology, Ajou University School of Medicine, Suwon, Republic of Korea;3. Department of Radiology, Ajou University School of Medicine, Suwon, Republic of Korea;1. Department of Orthopaedic Surgery, State University of New York at Buffalo, 3435 Main Street, Buffalo, NY 14214, USA;2. Division of Pediatric Orthopaedic Surgery, Department of Orthopaedic Surgery, Columbia University, 3959 Broadway 800 North, New York, NY 10032, USA;3. Department of Orthopaedic Surgery, Columbia University, 622 West 168 Street, PH11-Center, New York, NY 10032, USA;4. Morgan Stanley Children''s Hospital of New York-Presbyterian, Columbia University Medical Center, 3959 Broadway 800 North, New York, NY 10032, USA;1. Department of Cellular and Structural Biology, University of Texas Health Science Center at San Antonio (UTHSCSA), San Antonio, TX, USA;2. Instituto de Investigación Médica Mercedes y Martín Ferreyra (INIMEC CONICET), Universidad Nacional de Córdoba, Córdoba, Argentina;1. Autonomic and Neuroendocrinological Laboratory, Dept. of Neurology, University Hospital Carl Gustav Carus, Dresden Fetscherstr. 74, 01307 Dresden, Germany;2. Research Group Neuro-Metabolism, Dept. of Neurology and Internal Medicine III, University Hospital Carl Gustav Carus, Dresden Fetscherstr. 74, 01307 Dresden, Germany;3. Lipoprotein Apheresis Center, Dept. of Internal Medicine III, University Hospital Carl Gustav Carus, Dresden Fetscherstr. 74, 01307 Dresden, Germany;1. Universidade Paranaense, Umuarama, PR, Brazil;2. Universidade Estadual de Maringá, Maringá, PR, Brazil;3. Universidade Estadual Paulista Júlio de Mesquita Filho, UNESP, Botucatu, SP, Brazil;1. Neurosurgery Department, Regional Specialist Hospital, Olsztyn, Poland;2. Neurosurgery Department, Medical University of Gdańsk, Gdańsk, Poland;3. Department of Molecular Pathology and Neuropathology, Medical University of ?ód?, Poland;4. Department of Preventive Medicine and Education, Medical University of Gdańsk, Gdańsk, Poland;5. Neurosurgery and CNS Oncology Department, Medical University of ?ód?, Poland;1. Centre for Ophthalmology and Visual Science, Lions Eye Institute, The University of Western Australia, Perth, Australia;2. Singapore Eye Research Institute, National University of Singapore, Singapore
Abstract:Takayasu's arteritis is a chronic inflammatory vasculitis, involving mainly the aorta and its main branches and the pulmonary arteries, with characteristic of stenotic and occasionally dilated lesions. Neurologic manifestations of Takayasu's arteritis range from simple headache to catastrophic neurologic impairments, including visual loss, stroke and transient ischemic attack. However, spinal cord compression has never been described as a complication of Takayasu's arteritis. We describe a case of Takayasu's arteritis complicated by spinal cord compression due to thoracolumbar inflammatory epiduritis.
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