Cerebral Amyloid Angiopathy: A Case Report and Literature ...

Cerebral amyloid angiopathy (CAA) is a condition characterized by accumulation of amyloid-beta peptide in the walls of the small and medium-sized arteries of the brain and leptomeninges. This condition disrupts the structure of the vessel wall and makes it prone to bleeding. This is an important cau...

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Main Authors: Orkide Kutlu, Şamil Ecirli, Serhat Aygün, İbrahim Ünsal, Muharrem Keskin, Abdullah Sakin, Abdulkadir Baştürk
Format: Article
Language:English
Published: Galenos Yayinevi 2015-03-01
Series:Haseki Tıp Bülteni
Subjects:
Online Access:http://cms.galenos.com.tr/FileIssue/3/791/article/92-94.pdf
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author Orkide Kutlu
Şamil Ecirli
Serhat Aygün
İbrahim Ünsal
Muharrem Keskin
Abdullah Sakin
Abdulkadir Baştürk
author_facet Orkide Kutlu
Şamil Ecirli
Serhat Aygün
İbrahim Ünsal
Muharrem Keskin
Abdullah Sakin
Abdulkadir Baştürk
author_sort Orkide Kutlu
collection DOAJ
description Cerebral amyloid angiopathy (CAA) is a condition characterized by accumulation of amyloid-beta peptide in the walls of the small and medium-sized arteries of the brain and leptomeninges. This condition disrupts the structure of the vessel wall and makes it prone to bleeding. This is an important cause of intracerebral hemorrhage in elderly accompanying to Alzheimer’s disease or to a familial syndrome. Clinically, it usually presents with spontaneous lobar hemorrhage, as well as transient neurological signs, seizures, cognitive disorders, headache, incidental findings like microhaemorrhages and hemosiderosis observed on magnetic resonance (MR) imaging. Herein, we report a hypertensive patient diagnosed with CAA who presented with the complaints of balance disorder while walking. CAA should be suspected in patients with lobar hemorrhage aged 65 years and over. Surgical treatment should not be performed because it could worsen the condition. Clinical improvement can be expected from supportive management, monitoring hypertension, and steroid - immunosuppressive therapies.
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spelling doaj.art-d3a6d427ee35468893e9133a0db05f962023-02-15T16:22:06ZengGalenos YayineviHaseki Tıp Bülteni1302-00722147-26882015-03-01531929410.4274/haseki.2006Cerebral Amyloid Angiopathy: A Case Report and Literature ...Orkide Kutlu0Şamil Ecirli1Serhat Aygün2İbrahim Ünsal3Muharrem Keskin4Abdullah Sakin5Abdulkadir Baştürk6Konya Eğitim ve Araştırma Hastanesi, Dahiliye Kliniği, Konya, TürkiyeKonya Eğitim ve Araştırma Hastanesi, Dahiliye Kliniği, Konya, TürkiyeKonya Eğitim ve Araştırma Hastanesi, Radyoloji Kliniği, Konya, TürkiyeKonya Eğitim ve Araştırma Hastanesi, Nöroloji Kliniği, Konya, TürkiyeKonya Eğitim ve Araştırma Hastanesi, Dahiliye Kliniği, Konya, TürkiyeKanuni Sultan Süleyman Eğitim ve Araştırma Hastanesi, Dahiliye Kliniği, İstanbul, TürkiyeKonya Eğitim ve Araştırma Hastanesi, Dahiliye Kliniği, Konya, TürkiyeCerebral amyloid angiopathy (CAA) is a condition characterized by accumulation of amyloid-beta peptide in the walls of the small and medium-sized arteries of the brain and leptomeninges. This condition disrupts the structure of the vessel wall and makes it prone to bleeding. This is an important cause of intracerebral hemorrhage in elderly accompanying to Alzheimer’s disease or to a familial syndrome. Clinically, it usually presents with spontaneous lobar hemorrhage, as well as transient neurological signs, seizures, cognitive disorders, headache, incidental findings like microhaemorrhages and hemosiderosis observed on magnetic resonance (MR) imaging. Herein, we report a hypertensive patient diagnosed with CAA who presented with the complaints of balance disorder while walking. CAA should be suspected in patients with lobar hemorrhage aged 65 years and over. Surgical treatment should not be performed because it could worsen the condition. Clinical improvement can be expected from supportive management, monitoring hypertension, and steroid - immunosuppressive therapies.http://cms.galenos.com.tr/FileIssue/3/791/article/92-94.pdfintracerebral hemorrhagehypertensionCerebral amyloid angiopathyhypertension
spellingShingle Orkide Kutlu
Şamil Ecirli
Serhat Aygün
İbrahim Ünsal
Muharrem Keskin
Abdullah Sakin
Abdulkadir Baştürk
Cerebral Amyloid Angiopathy: A Case Report and Literature ...
Haseki Tıp Bülteni
intracerebral hemorrhage
hypertension
Cerebral amyloid angiopathy
hypertension
title Cerebral Amyloid Angiopathy: A Case Report and Literature ...
title_full Cerebral Amyloid Angiopathy: A Case Report and Literature ...
title_fullStr Cerebral Amyloid Angiopathy: A Case Report and Literature ...
title_full_unstemmed Cerebral Amyloid Angiopathy: A Case Report and Literature ...
title_short Cerebral Amyloid Angiopathy: A Case Report and Literature ...
title_sort cerebral amyloid angiopathy a case report and literature
topic intracerebral hemorrhage
hypertension
Cerebral amyloid angiopathy
hypertension
url http://cms.galenos.com.tr/FileIssue/3/791/article/92-94.pdf
work_keys_str_mv AT orkidekutlu cerebralamyloidangiopathyacasereportandliterature
AT samilecirli cerebralamyloidangiopathyacasereportandliterature
AT serhataygun cerebralamyloidangiopathyacasereportandliterature
AT ibrahimunsal cerebralamyloidangiopathyacasereportandliterature
AT muharremkeskin cerebralamyloidangiopathyacasereportandliterature
AT abdullahsakin cerebralamyloidangiopathyacasereportandliterature
AT abdulkadirbasturk cerebralamyloidangiopathyacasereportandliterature