THE HEALTH RELATED QUALITY OF LIFE (HRQL) OF A PATIENT WITH SEVERE TAKAYASU’S ARTERITIS COMPLICATIONS BEFORE AND AFTER ENDOVASCULAR TREATMENT
Journal Title: Acta Neuropsychologica - Year 2016, Vol 14, Issue 2
Abstract
Background: The aim of this article was an evaluation of the Health Related Quality of Life (HRQL) of a patient with Takayasu’s arteritis complications before and after endovascular treatment. I would have hypothesized that there would be a good response to this treatment in the reduction of stroke symptoms, that is right side paresis and mild aphasia and therefore patients’ quality of life.Case study: A 19-year-old female patient developed, at the age of 17, a left hemisphere stroke, right side paresis and mild aphasia. On examination, she was diagnosed as having Takayasu’s Arteritis (TA). MR-Angiography showed severe stenosis of the left common carotid artery (LCCA) at the site of origin, the left subclavian artery (LSA), the brachiocephalic artery (BCA), and a minimal narrowing of the left vertebral artery (LVA) at the site of the origin of LSA. The angioplasty of LSA with stent implanting was done with slight neurological improvement. Two years later she had another stroke caused by restenosis of the LSA with right side paresis, mild aphasia. Another angioplasty of LSA with stent implanting was carried out. The neurological symptoms diminished, which was connected with an improvement in her quality of life.Conclusions: As hypothesized, there was a good response to both revascularization procedures, which was connected with the reduction of stroke symptoms (right side paresis and mild aphasia) and subsequently, the patient’s quality of life.
Authors and Affiliations
Mariusz Trystula
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