Carotid steal syndrome with recurrent syncope: A novel manifestation of Takayasu arteritis

颈动脉窃血综合征伴反复晕厥:大动脉炎的一种新表现

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Abstract

Syncope as a manifestation of Takayasu arteritis is rare. We present a case of recurrent syncope in a 33-year-old woman. Clinical, laboratory, and imaging findings confirmed a new diagnosis of Takayasu arteritis. There was severe cerebrovascular involvement. Invasive angiography revealed vertebro-carotid artery collaterals causing a steal phenomenon. This resulted in vertebrobasilar insufficiency. To our knowledge, this is the first reported case of syncope due to carotid steal syndrome in Takayasu arteritis.

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