The aorta is particularly damaged by Takayasu's arteritis (TA), a rare form of vasculitis. Chest discomfort, exhaustion, fever, elevated blood pressure, heart failure, and stroke can all result from this. Major intimal fibrosis with vascular constriction is the disease's hallmark; although anybody can have it, Asian females in their 20s or 30s seem to be most typically affected. The treatment of a 23-year-old Asian female with Takayasu's arteritis (TA) is discussed in this case study, along with her presentation. Before developing seizures, the patient first showed signs of left-sided weakness and facial droop. Ischemic infarcts and vasculopathy were detected by imaging. The patient fulfilled several American College of Rheumatology (ACR) criteria for TA with a positive erythrocyte sedimentation rate (ESR). During treatment, high-dose prednisolone, cyclophosphamide, and neuroprotective measures were used. The patient's attentiveness and mobility improved despite early complications, such as vascular friability. This case illustrates the difficulties and effective treatment of neurovascular problems connected to TA.

Dr. Hidayat Ullah is an aspiring IM Internist for the Match Cycle #2025. She is currently working as a Resident Physician at Hayatabad Medical Complex Hospital, Peshawar, Pakistan. She has almost 5 years of clinical experience, including caring for patients in both inpatient and outpatient departments, the Accident and Emergency departments, as well as some clinical research experience with over 10 publications and quality improvement projects. Her future goal is to match into an IM residency and pursue a fellowship in advanced specialties such as Cardiology or Gastroenterology.