AN INTERESTING CASE OF SEIZURE

A 15 year old female presented to us with history of seizures and altered sensorium. On examination patient was found to have hypertension and abdominal bruit. On evaluation of the patient, narrowing of abdominal aorta and right renal artery was evident on CT angiography. Patient was diagnosed with hypertensive encephalopathy secondary to renal artery stenosis. Involvement of the abdominal aorta raised the possibility of large vessel vasculitis and a final diagnosis of Type IV Takayasu's arteritis was made. Its association with tuberculosis was also considered as the patient had associated phlyctenular conjunctivitis.