Presentation
Presented to the Emergency Department with acute onset headache and “talking gibberish” at the bank.
Patient Data
Age: 55 years
Gender: Female
From the case:
Cerebral amyloid angiopathy related inflammation
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CT shows left temporal white matter hypodensity.
From the case:
Cerebral amyloid angiopathy related inflammation
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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.
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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 localized inflammation can be seen, known as cerebral amyloid angiopathy-related inflammation.
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