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Peer-reviewedCC BY-NC-SA 4.0Annals of African Medicine

Managing What You Cannot Measure: Anesthetic Implications of Takayasu’s Arteritis in Hypertensive Intracranial Hemorrhage

4 affiliations
  1. 1Department of Critical Care Medicine, Aster Whitefield Hospital, Bengaluru, Karnataka, India
  2. 2St. Jude Children’s Research Hospital, Memphis, Tennessee, USA
  3. 3Undergraduate, Kasturba Medical College, Mangalore, Karnataka, India
  4. 4Department of Anaesthesiology, Queen Elizabeth Hospital, Bridgetown, Barbados

Abstract

Takayasu’s arteritis is a rare inflammatory vasculopathy affecting medium- and large-caliber arteries, often presenting as cerebrovascular incidents in young individuals, primarily due to uncontrolled hypertension. The following is the case of a young male with no known comorbidities who exhibited intracranial hemorrhage resulting from accelerated hypertension. The fundamental diagnosis of autoimmune arteritis concerning the aorta was determined during the perioperative phase. Emphasized are the challenges posed by uncommon etiologies of secondary hypertension in anesthetic and perioperative blood pressure management, especially in emergency situations, stressing the necessity of a heightened index of suspicion in young patients presenting with severe, refractory hypertension.

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BibTeX
@article{muthukrishnan2026managing,
  title = {{Managing What You Cannot Measure: Anesthetic Implications of Takayasu’s Arteritis in Hypertensive Intracranial Hemorrhage}},
  author = {Mythreyi Muthukrishnan and Sasha Maria Menon and Niya Krishna and Sweekar Kudpi Shenoy},
  journal = {Annals of African Medicine},
  year = {2026},
  month = aug,
  doi = {10.4103/aam.aam_109_26},
  url = {https://doi.org/10.4103/aam.aam_109_26},
  note = {CC BY-NC-SA 4.0},
}
RIS
TY  - JOUR
TI  - Managing What You Cannot Measure: Anesthetic Implications of Takayasu’s Arteritis in Hypertensive Intracranial Hemorrhage
AU  - Mythreyi Muthukrishnan
AU  - Sasha Maria Menon
AU  - Niya Krishna
AU  - Sweekar Kudpi Shenoy
PY  - 2026
DA  - 2026/08/25
JO  - Annals of African Medicine
DO  - 10.4103/aam.aam_109_26
UR  - https://doi.org/10.4103/aam.aam_109_26
AB  - Takayasu’s arteritis is a rare inflammatory vasculopathy affecting medium- and large-caliber arteries, often presenting as cerebrovascular incidents in young individuals, primarily due to uncontrolled hypertension. The following is the case of a young male with no known comorbidities who exhibited intracranial hemorrhage resulting from accelerated hypertension. The fundamental diagnosis of autoimmune arteritis concerning the aorta was determined during the perioperative phase. Emphasized are the challenges posed by uncommon etiologies of secondary hypertension in anesthetic and perioperative blood pressure management, especially in emergency situations, stressing the necessity of a heightened index of suspicion in young patients presenting with severe, refractory hypertension.
SN  - 1596-3519
SN  - 0975-5764
ER  -