Cerebral amyloid angiopathy-related inflammation presenting with steroid-responsive higher brain dysfunction: Case report and review of the literature

Journal of Neuroinflammation

Volumn 8, Issue , 2011, Pages

  Sakaguchi, Hideya ^a   Ueda, Akihiko ^a   Kosaka, Takayuki ^a   Yamashita, Satoshi ^a   Kimura, En ^a   Yamashita, Taro ^a   Maeda, Yasushi ^a   Hirano, Teruyuki ^a   Uchino, Makoto ^a  

^a KUMAMOTO UNIVERSITY   (Japan)

Author keywords

CAA related inflammation; Cerebral amyloid angiopathy; Higher brain dysfunction

Indexed keywords

AMYLOID BETA PROTEIN; CONGO RED; GADOLINIUM; METHYLPREDNISOLONE; STEROID;

ADULT; APRAXIA; ARTICLE; BRAIN DYSFUNCTION; BRAIN HEMORRHAGE; CASE REPORT; CELL COUNT; DOSE RESPONSE; DRUG DOSE REDUCTION; DRUG EFFICACY; DRUG PULSE THERAPY; DYSGRAPHIA; ENCEPHALITIS; HISTOPATHOLOGY; HUMAN; HUMAN TISSUE; HYPERESTHESIA; HYPOALGESIA; LEG DISEASE; MALE; MENINGOENCEPHALITIS; MENINX DISORDER; MULTIPLE CYCLE TREATMENT; NEUROIMAGING; NEUROPSYCHOLOGICAL TEST; NUCLEAR MAGNETIC RESONANCE IMAGING; PROTEIN CEREBROSPINAL FLUID LEVEL; RELAPSE; STEROID THERAPY; VASCULAR AMYLOIDOSIS; MIDDLE AGED; PATHOLOGY; PATHOPHYSIOLOGY;

CEREBRAL AMYLOID ANGIOPATHY; ENCEPHALITIS; HUMANS; MAGNETIC RESONANCE IMAGING; MALE; MIDDLE AGED; STEROIDS;

EID: 80052671280     PISSN: None     EISSN: 17422094     Source Type: Journal    
DOI: 10.1186/1742-2094-8-116     Document Type: Article

References (37)

1. Oh U, Gupta R, Krakauer JW, Khandji AG, Chin SS, Elkind MS. Reversible leukoencephalopathy associated with cerebral amyloid angiopathy. Neurology 2004, 62(3):494-497.
2. Eng JA, Frosch MP, Choi K, Rebeck GW, Greenberg SM. Clinical manifestations of cerebral amyloid angiopathy-related inflammation. Ann Neurol 2004, 55(2):250-256. 10.1002/ana.10810, 14755729.
3. Scolding NJ, Joseph F, Kirby PA, Mazanti I, Gray F, Mikol J, Ellison D, Hilton DA, Williams TL, MacKenzie JM, et al. Abeta-related angiitis: primary angiitis of the central nervous system associated with cerebral amyloid angiopathy. Brain 2005, 128(Pt 3):500-515.
4. Kinnecom C, Lev MH, Wendell L, Smith EE, Rosand J, Frosch MP, Greenberg SM. Course of cerebral amyloid angiopathy-related inflammation. Neurology 2007, 68(17):1411-1416. 10.1212/01.wnl.0000260066.98681.2e, 17452586.
5. Nicoll JA, Wilkinson D, Holmes C, Steart P, Markham H, Weller RO. Neuropathology of human Alzheimer disease after immunization with amyloid-beta peptide: a case report. Nat Med 2003, 9(4):448-452. 10.1038/nm840, 12640446.
6. Orgogozo JM, Gilman S, Dartigues JF, Laurent B, Puel M, Kirby LC, Jouanny P, Dubois B, Eisner L, Flitman S, et al. Subacute meningoencephalitis in a subset of patients with AD after Abeta42 immunization. Neurology 2003, 61(1):46-54.
7. Kloppenborg RP, Richard E, Sprengers ME, Troost D, Eikelenboom P, Nederkoorn PJ. Steroid responsive encephalopathy in cerebral amyloid angiopathy: a case report and review of evidence for immunosuppressive treatment. J Neuroinflammation 2010, 7:18. 10.1186/1742-2094-7-18, 2846904, 20214781.
8. Schwab P, Lidov HG, Schwartz RB, Anderson RJ. Cerebral amyloid angiopathy associated with primary angiitis of the central nervous system: report of 2 cases and review of the literature. Arthritis Rheum 2003, 49(3):421-427. 10.1002/art.11049, 12794799.
9. Greenberg SM, Rapalino O, Frosch MP. Case records of the Massachusetts General Hospital. Case 22-2010. An 87-year-old woman with dementia and a seizure. N Engl J Med 2010, 363(4):373-381. 10.1056/NEJMcpc1004364, 20660406.
10. Greenberg SM, Vonsattel JP, Stakes JW, Gruber M, Finklestein SP. The clinical spectrum of cerebral amyloid angiopathy: presentations without lobar hemorrhage. Neurology 1993, 43(10):2073-2079.
11. Ortiz O, Reed L. Cerebral amyloid angiopathy presenting as a nonhemorrhagic, infiltrating mass. Neuroradiology 1996, 38(5):449-452.
12. Fountain NB, Eberhard DA. Primary angiitis of the central nervous system associated with cerebral amyloid angiopathy: report of two cases and review of the literature. Neurology 1996, 46(1):190-197.
13. Anders KH, Wang ZZ, Kornfeld M, Gray F, Soontornniyomkij V, Reed LA, Hart MN, Menchine M, Secor DL, Vinters HV. Giant cell arteritis in association with cerebral amyloid angiopathy: immunohistochemical and molecular studies. Hum Pathol 1997, 28(11):1237-1246. 10.1016/S0046-8177(97)90196-9, 9385928.
14. Fountain NB, Lopes MB. Control of primary angiitis of the CNS associated with cerebral amyloid angiopathy by cyclophosphamide alone. Neurology 1999, 52(3):660-662.
15. Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 10-2000. A 63-year-old man with changes in behavior and ataxia. N Engl J Med 2000, 342(13):957-965. 10.1056/NEJM200003303421308, 10738055.
16. Oide T, Tokuda T, Takei Y, Takahashi H, Ito K, Ikeda S. Serial CT and MRI findings in a patient with isolated angiitis of the central nervous system associated with cerebral amyloid angiopathy. Amyloid 2002, 9(4):256-262. 10.3109/13506120209114103, 12557755.
17. Tamargo RJ, Connolly ES, McKhann GM, Khandji A, Chang Y, Libien J, Adams D. Clinicopathological review: primary angiitis of the central nervous system in association with cerebral amyloid angiopathy. Neurosurgery 2003, 53(1):136-143. discussion 143, 10.1227/01.NEU.0000068864.20655.31, 12823882.
18. Safriel Y, Sze G, Westmark K, Baehring J. MR spectroscopy in the diagnosis of cerebral amyloid angiopathy presenting as a brain tumor. AJNR Am J Neuroradiol 2004, 25(10):1705-1708.
19. Hashizume Y, Yoshida M, Suzuki E, Hirayama M. A 65-year-old man with headaches and left homonymous hemianopsia. Neuropathology 2004, 24(4):350-353. 10.1111/j.1440-1789.2004.00588.x, 15641598.
20. Harkness KA, Coles A, Pohl U, Xuereb JH, Baron JC, Lennox GG. Rapidly reversible dementia in cerebral amyloid inflammatory vasculopathy. Eur J Neurol 2004, 11(1):59-62. 10.1046/j.1351-5101.2003.00707.x, 14692890.
21. Jacobs DA, Liu GT, Nelson PT, Galetta SL. Primary central nervous system angiitis, amyloid angiopathy, and Alzheimer's pathology presenting with Balint's syndrome. Surv Ophthalmol 2004, 49(4):454-459. 10.1016/j.survophthal.2004.04.002, 15231402.
22. Mikolaenko I, Conner MG, Jinnah HA. A 50-year-old man with acute-onset generalized seizure. Cerebral amyloid angiopathy and associated giant cell reaction. Arch Pathol Lab Med 2006, 130(1):e5-7.
23. Wong SH, Robbins PD, Knuckey NW, Kermode AG. Cerebral amyloid angiopathy presenting with vasculitic pathology. J Clin Neurosci 2006, 13(2):291-294. 10.1016/j.jocn.2005.03.025, 16439133.
24. Greenberg SM, Parisi JE, Keegan BM. A 63-year-old man with headaches and behavioral deterioration. Neurology 2007, 68(10):782-787. 10.1212/01.wnl.0000258985.31455.13, 17339589.
25. Marotti JD, Savitz SI, Kim WK, Williams K, Caplan LR, Joseph JT. Cerebral amyloid angiitis processing to generalized angiitis and leucoencephalitis. Neuropathol Appl Neurobiol 2007, 33(4):475-479. 10.1111/j.1365-2990.2007.00843.x, 17573809.
26. McHugh JC, Ryan AM, Lynch T, Dempsey E, Stack J, Farrell MA, Kelly PJ. Steroid-responsive recurrent encephalopathy in a patient with cerebral amyloid angiopathy. Cerebrovasc Dis 2007, 23(1):66-69. 10.1159/000097030, 17108675.
27. Takeda A, Tatsumi S, Yamashita M, Yamamoto T. [Granulomatous angiitis of the CNS associated with cerebral amyloid angiopathy--an autopsied case with widespread involvement]. Brain Nerve 2007, 59(5):537-543.
28. Machida K, Tojo K, Naito KS, Gono T, Nakata Y, Ikeda S. Cortical petechial hemorrhage, subarachnoid hemorrhage and corticosteroid-responsive leukoencephalopathy in a patient with cerebral amyloid angiopathy. Amyloid 2008, 15(1):60-64. 10.1080/13506120701815589, 18266123.
29. Salvarani C, Brown RD, Calamia KT, Christianson TJ, Huston J, Meschia JF, Giannini C, Miller DV, Hunder GG. Primary central nervous system vasculitis: comparison of patients with and without cerebral amyloid angiopathy. Rheumatology (Oxford) 2008, 47(11):1671-1677.
30. Amick A, Joseph J, Silvestri N, Selim M. Amyloid-beta-related angiitis: a rare cause of recurrent transient neurological symptoms. Nat Clin Pract Neurol 2008, 4(5):279-283. 10.1038/ncpneuro0769, 18349854.
31. Alcalay RN, Smith EE. MRI showing white matter lesions and multiple lobar microbleeds in a patient with reversible encephalopathy. J Neuroimaging 2009, 19(1):89-91. 10.1111/j.1552-6569.2008.00241.x, 18494780.
32. Daniels R, Geurts JJ, Bot JC, Schonewille WJ, van Oosten BW. Steroid-responsive edema in CAA-related inflammation. J Neurol 2009, 256(2):285-286. 10.1007/s00415-009-0136-7, 19159066.
33. Morishige M, Abe T, Kamida T, Hikawa T, Fujiki M, Kobayashi H, Okazaki T, Kimura N, Kumamoto T, Yamada A, et al. Cerebral vasculitis associated with amyloid angiopathy: case report. Neurol Med Chir (Tokyo) 2010, 50(4):336-338.
34. Savoiardo M, Erbetta A, Storchi G, Girotti F. Case 159: cerebral amyloid angiopathy-related inflammation. Radiology 2010, 256(1):323-327. 10.1148/radiol.10091170, 20574106.
35. Cano LM, Martinez-Yelamos S, Majos C, Alberti MA, Boluda S, Velasco R, Rubio F. Reversible acute leukoencephalopathy as a form of presentation in cerebral amyloid angiopathy. J Neurol Sci 2010, 288(1-2):190-193. 10.1016/j.jns.2009.09.035, 19853861.
36. DiFrancesco JC, Brioschi M, Brighina L, Ruffmann C, Saracchi E, Costantino G, Galimberti G, Conti E, Curto NA, Marzorati L, et al. Anti-Abeta autoantibodies in the CSF of a patient with CAA-related inflammation: a case report. Neurology 2011, 76(9):842-844. 10.1212/WNL.0b013e31820e773c, 21357837.
37. Chung KK, Anderson NE, Hutchinson D, Synek B, Barber PA. Cerebral amyloid angiopathy related inflammation: three case reports and a review. J Neurol Neurosurg Psychiatry 2011, 82(1):20-26. 10.1136/jnnp.2009.204180, 20935328.