Cerebral amyloid angiopathy

Case contributed by Dr Ahmed Abdrabou

Presentation

Patient with chronic renal failure developed deteriorated conscious level.

Patient Data

Age: 63 years
Gender: Male
MRI

Left thalamic acute hematoma with intraventricular extension and multiple scattered black dots in T2* images of microbleeds. 

Case Discussion

The patient had chronic renal failure and found to have also amyloidosis. Cerebral amyloidosis can be manifested as spontaneous intracerebral hematoma, amyloidoma or white matter changes. The left thalamic hematoma could be due to hypertension or amyloidosis however, the foci of micro hemorrhages are likely related to amyloid angiopathy

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Case information

rID: 22905
Published: 2nd May 2013
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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