J Pediatr Intensive Care 2017; 06(03): 221-224
DOI: 10.1055/s-0037-1598205
Case Report
Georg Thieme Verlag KG Stuttgart · New York

A 15-Year-Old with Aphasia and Right Hemiparesis

Benjamin Wadowski
1   Department of Pediatrics, NYU School of Medicine, New York, United States
Tanya Chadha
2   Division of Critical Care, Department of Pediatrics, Wolfson Children's Hospital, Jacksonville, Florida, United States
3   Department of Pediatrics, University of Florida College of Medicine, Jacksonville, Florida, United States
Andy Y. Wen
1   Department of Pediatrics, NYU School of Medicine, New York, United States
4   Division of Critical Care, Department of Pediatrics, NYU Langone Medical Center, New York, United States
› Author Affiliations
Further Information

Publication History

28 September 2016

29 December 2016

Publication Date:
17 February 2017 (online)


Takayasu arteritis (TA) is the third most common vasculitis in childhood, peaking in the second to third decades of life but affecting patients as young as 6 months of age. It often presents with nonspecific systemic symptoms, although at late stages, it may present with cardiac, renal, or focal neurologic sequelae of vascular compromise. In this case, we describe a 15-year-old patient who presented acutely with stroke. In the absence of more classic rheumatological symptoms and significant laboratory abnormalities on initial testing, the diagnosis of TA was only reached through extensive vascular imaging following consultation with multiple subspecialty teams. This case demonstrates the need to maintain a high index of suspicion for vasculitis in pediatric patients presenting with new onset stroke in the absence of known predisposing factors. Doing so may reduce the time to diagnosis, hasten treatment, and optimize outcomes.


Benjamin Wadowski drafted the initial manuscript and approved the final manuscript as submitted. Tanya Chadha drafted, reviewed, and revised the initial manuscript and approved the final manuscript as submitted. Andy Y. Wen also drafted the initial manuscript, critically reviewed the manuscript, and approved the final manuscript as submitted.

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