Cerebral amyloid angiopathy

Case contributed by Dr Amro Omar

Presentation

Demented patient, presented with acute neurological symptoms. Patient is normotensive.

Patient Data

Age: 77
Gender: Male
Modality: MRI

T1, T2WI corresponds to mixed acute/early subacute bleed. 

T2* shows the rest of the chronic foci of angiopathic microbleed

Case Discussion

Top differential diagnoses of multifocal "black dots" on T2/T2* MR include:

  • hypertensive microhemorrhages
  • ischemic stroke with microhemorrhage
  • multiple cavernous malformations (type 4)
  • diffuse axonal injury
  • hemorrhagic metastases

However, each of the above mentioned differential diagnoses has different clinical scenario and other imaging features.

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Case Information

rID: 32469
Case created: 27th Nov 2014
Last edited: 1st Oct 2015
Inclusion in quiz mode: Included

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