Cerebral amyloid angiopathy related inflammation

Case contributed by Dr Tahir

Presentation

Presented to the Emergency Department with acute onset headache and “talking gibberish” at the bank.

Patient Data

Age: 54
Gender: Female

CT shows left temporal white matter hypodensity.

Swelling left temporal lobe and diffuse hyperintensity in white matter on FLAIR. Microhemorrhages in medial left temporal lobe on T2* image provide a clue to the etiology. No enhancement on contrast enhanced 3D SPGR. 

One month follow up

Modality: MRI

Marked improvement is noted on one month follow up scan after brain biopsy and treatment with prednisolone.

Case Discussion

Cerebral amyloid angiopathy (CAA) is a cerebrovascular disorder that tends to manifest in normotensive elderly patients. Occasionally localised inflammation can be seen, known as cerebral amyloid angiopathy-related inflammation

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Case Information

rID: 26521
Case created: 25th Dec 2013
Last edited: 14th Sep 2015
Inclusion in quiz mode: Included

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