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J R Soc Med 2006;99:527-528
doi:10.1258/jrsm.99.10.527
© 2006 Royal Society of Medicine

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A young stroke: the need for vigilance

Rowan Miller1 Colette Griffin1 Jagit Shah2 Amrish Metha2   Pankaj Sharma1

1 Senior House Officer (Neurology), SpR Neurology, and Consultant Neurologist & Reader in Cerebrovascular Biology, Hammersmith Hospitals Acute Stroke Unit, Department of Clinical Neuroscience, Imperial College, London W6 8RF, UK
2 SpR Neurology and Consultant Neuroradiology, Department of Neuroradiology, Hammersmith Hospitals, London W6 8RF, UK


Figure 1
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  		Figure 1. Computerized imaging angiogram. Axial images of aortic arch and origin of great vessels demonstrate an artery-centric process with a soft tissue mass surrounding the origins of the brachiocephalic artery (B) and the left common carotid artery (C). The latter is markedly reduced in calibre. Note also the presence of small lymph nodes in the pre-aortic space (E). See the contrast within the superior vena cava (A) and the uninvolved origin of the left subclavian artery (D)

 

Figure 2
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  		Figure 2. Whole body positron emission tomography isotope study. Increased concentric tracer uptake at the aortic root and ascending aorta is shown on the axial slice images. Maximum SUV 2.4. No abnormal uptake demonstrated in the remainder of the aorta, the common carotid vessels or the common iliac vessels. The features are consistent with a large vessel aortitis

 

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