A case of cerebral amyloid angiopathy.
Med Sci Monit
; 13(2): CS24-6, 2007 Feb.
Article
in En
| MEDLINE
| ID: mdl-17261990
ABSTRACT
UNLABELLED BACKGROUND; Cerebral amyloid angiopathy (CAA) is a condition characterized by amyloid deposition in the walls of leptomeningal and cerebral cortical blood vessels. Clinically, CAA results in recurrent lobar haemorrhage that frequently presents with cognitive impairment or recurrent cerebral ischaemic events. CAA is widely believed to b eunder-diagnosed. CASE REPORT An 84 year old patient presented with a history of recurrent unexplained collapses on a background of cognitive impairment. CT imaging of the brain demonstrated several lobar haemorrhages. In the absence of other causes of cerebral haemorrhage, the patient fulfilled the Boston diagnosis criteria for probable CAA. CONCLUSIONS:
CAA should be considered in patients with multiple lobar haemorrhages, especially in the presence of cognitive impairment, and in the absence of other causes of cerebral haemorrhage such as trauma, space occupying lesion or a coagulopathy. The diagnosis of CAA is an important one because of the likely implication it has on future management targeted to reducing the future risk of further bleeding.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Cerebral Amyloid Angiopathy
Type of study:
Etiology_studies
Limits:
Aged
/
Aged80
/
Female
/
Humans
Language:
En
Journal:
Med Sci Monit
Journal subject:
MEDICINA
Year:
2007
Document type:
Article
Affiliation country:
Reino Unido