J Korean Neurosurg Soc.  2006 Jun;39(6):447-450.

Multiple Recurrent Cerebral Hemorrhages Related to Cerebral Amyloid Angiopathy with Arterial Hypertension

• Jung JH
• Shin DA
• Gong TS
• Kwon CY

Abstract

Cerebral amyloid angiopathy(CAA) is characterized by the deposition of amyloid beta-protein in the walls of small to medium-sized arteries of the leptomeninges and cerebral cortex. While often asymptomatic, CAA can develop into intracerebral hemorrhage facilitated by arterial hypertension. We report the case of a 52-year-old man with CAA and arterial hypertension who developed recurrent cerebral hemorrhages on three different occasions and in multiple non-overlapping loci over a period of nine years. Based on our findings, we recommend brain biopsies for all patients undergoing evacuation of multiple recurrence or atypical pattern intracerebral hemorrhages.

Keyword

Cerebral amyloid angiopathy; Recurrent cerebral hemorrhages

MeSH Terms

Amyloid
Amyloid beta-Peptides
Arteries
Biopsy
Brain
Cerebral Amyloid Angiopathy*
Cerebral Cortex
Cerebral Hemorrhage*
Humans
Hypertension*
Middle Aged
Recurrence
Amyloid
Amyloid beta-Peptides