Cerebral amyloid angiopathy-related inflammation

Case contributed by Juan José Gómez Muga
Diagnosis almost certain

Presentation

TBI. GCS 15. Mild cognitive impairment.

Patient Data

Age: 75 years
Gender: Female

Mild atrophy.

Extensive white matter disease. (Fazekas 3)

Subcortical vasogenic edema in right frontal and left occipital lobes without contrast enhancement.

Mild atrophy.

White matter disease Fazekas 3.

Vasogenic edema without contrast enhancement in the right frontal and left occipital lobes.

Cortical microbleeds predominantly affecting those lobes.

Case Discussion

Imaging findings fulfill Modified Boston Criteria for probable CAA (cerebral amyloid angiopathy).

Vasogenic edema in this context suggests cerebral amyloid angiopathy-related inflammation.

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