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Home > Cerebral Amyloid Angiopathy and Cerebral Amyloid Angiopathy-Related Inflammation: Comparison of Hemorrhagic and DWI MRI Features.

TitleCerebral Amyloid Angiopathy and Cerebral Amyloid Angiopathy-Related Inflammation: Comparison of Hemorrhagic and DWI MRI Features.
Publication TypeJournal Article
Year of Publication2018
AuthorsRenard, D, Tatu, L, Collombier, L, Wacongne, A, Ayrignac, X, Charif, M, Boukriche, Y, Chiper, L, Fourcade, G, Azakri, S, Gaillard, N, Mercier, E, Lehmann, S, Thouvenot, E
JournalJ Alzheimers Dis
Volume64
Issue4
Pagination1113-1121
Date Published2018
ISSN1875-8908
Abstract

BACKGROUND: Cerebral amyloid angiopathy (CAA) can be associated with primary vasculitis of small/medium-sized leptomeningeal and cortical arteries, called CAA-related inflammation (CAA-ri).

OBJECTIVE: To compare hemorrhagic and diffusion-weighted imaging (DWI) MRI features in CAA and CAA-ri.

METHODS: We prospectively scored in a consecutive CAA and CAA-ri cohort: presence/number of chronic intracerebral hemorrhage (ICH), cerebral microbleeds (CMB), and cortical superficial siderosis (CSS) on initial T2*-weighted imaging, and DWI lesions on both initial and follow-up imaging. In a subgroup, ApoE, CSF, and 18F-florbetaben-positron emission tomography (FBB-PET) were also analyzed.

RESULTS: In CAA-ri, CMB presence was more frequent (100% versus 40%, p

CONCLUSION: Compared to CAA, CAA-ri was associated with higher CMB numbers, more frequent ApoE4 carriers and homozygotes, lower CSF Aβ42 levels, and more severe amyloid load on FBB-PET.

DOI10.3233/JAD-180269
Alternate JournalJ. Alzheimers Dis.
PubMed ID30010128
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