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Isolated cranial nerve syndromes without proximal carotid involvement in aortoarteritis
  1. G R Shroff,
  2. D R Karnad,
  3. U S Limaye,
  4. V M Kothari
  1. Departments of Medicine and Radiology, Seth G S Medical College and K E M Hospital, Mumbai, India
  1. Correspondence to:
    Dr G R Shroff
    Department of Internal Medicine, Hennepin Country Medical Center, Minneapolis, MN 55415, USA; drgautamshroffhotmail.com

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Takayasu’s arteritis or aortoarteritis affects the aorta and its proximal branches.1 Cranial nerve involvement in the form of ischaemic optic neuropathy secondary to proximal carotid involvement is common.2 Involvement of other cranial nerves has been reported only once before.3 We report two patients with aortoarteritis who developed isolated cranial nerve palsies. Notably, in both cases it occurred without proximal carotid involvement.

CASE REPORTS

Patient 1, a 30 year old businessman, presented with malignant hypertension because of right renal artery stenosis due to aortoarteritis affecting the abdominal aorta. After successful balloon angioplasty, blood pressure was well controlled with antihypertensive drugs. Two years later he developed sudden headache and diplopia on looking towards the left. Examination showed a convergent squint in the left eye due to abducens nerve palsy. Contrast enhanced brain …

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