Prolonged follow-up of a case of Takayasu’s arteritis presenting with spastic paraplegia secondary to thoracic compressive myelopathy

Spastic paraplegia is an uncommon and potentially misleading presentation of Takayasu's arteritis. The resulting dural thickening may initially mimic primary spinal pathology.The presence of concurrent large-vessel inflammation is a crucial diagnostic clue; positron emission tomography/computed tomography scans and magnetic resonance imaging are invaluable in confirming vasculitis and monitoring treatment response.Long-term follow-up is essential, as it reveals new and significant complications related both to Takayasu's arteritis and to its management.