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. 

MRI

One month follow up

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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