Presentation
Progressive cognitive impairment, apraxia, and aphasia for a few weeks.
Patient Data
Age: 70 years
Gender: Female
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Left occipital cortical and subcortical FLAIR hyperintensity and grouped microbleeds. Very subtle leptomeningeal enhancement. No restricted diffusion.
A few other microbleeds are found in the left temporal lobe.
Case Discussion
Clinical history of progressive cognitive decline over a few weeks and asymmetrically grouped cerebral microbleeds with focal corticosubcortical FLAIR hyperintensity, untypical for stroke and without restricted diffusion, we suspected cerebral amyloid angiopathy related inflammation (CAA-RI).
Probatory corticoid treatment resolved FLAIR changes and the patient returned to near normal cognitive function.
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