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Open Access

Recurrent intracerebral haemorrhages as main manifestations in cerebral amyloid angiopathy-related inflammation

Ya Su, Yi Dong, Xin Cheng
DOI: 10.1136/svn-2024-003100 Published 30 December 2024
Ya Su
Department of Neurology, National Center for Neurological Disorders, National Clinical Research Center for Aging and Medicine, Huashan Hospital Fudan University, Shanghai, China
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Yi Dong
Department of Neurology, National Center for Neurological Disorders, National Clinical Research Center for Aging and Medicine, Huashan Hospital Fudan University, Shanghai, China
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Xin Cheng
Department of Neurology, National Center for Neurological Disorders, National Clinical Research Center for Aging and Medicine, Huashan Hospital Fudan University, Shanghai, China
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    Figure 1

    Neuroimaging features of CAA-ri. Susceptibility-weighted imaging showed multiple cerebral macrobleeds, microbleeds and superficial siderosis (A–B). 18F-florbetapir positron emission tomography revealed higher tracer retention (red) representing diffuse amyloid deposition in cerebral lobes (C–D). Baseline brain MRI showed asymmetric white matter hyperintensities beyond ICH lesions on T2-weighted images (E–F). White matter lesions in left temporal and parietal lobes resolved after corticosteroid therapy (G–H). CAA-ri, cerebral amyloid angiopathy-related inflammation; ICH, intracerebral haemorrhage.

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    Figure 2

    Histological and immunohistochemical features of biopsy specimen. Biopsy of the left temporal cortex. H&E staining showed perivascular cuffing with lymphocytes infiltration and fibrinoid necrosis (A), as well as haemosiderin deposition (B). Immunohistochemical staining for amyloid-beta showed severe amyloid deposition in leptomeningeal vessels and diffuse amyloid plaques (inset) (C). Immunohistochemical staining for CD5 showed that leptomeningeal inflammation was mainly composed of T lymphocytes (D). Original magnification×400.

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Stroke and Vascular Neurology: 9 (6)
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Recurrent intracerebral haemorrhages as main manifestations in cerebral amyloid angiopathy-related inflammation
Ya Su, Yi Dong, Xin Cheng
Stroke and Vascular Neurology Dec 2024, 9 (6) 738-740; DOI: 10.1136/svn-2024-003100

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Recurrent intracerebral haemorrhages as main manifestations in cerebral amyloid angiopathy-related inflammation
Ya Su, Yi Dong, Xin Cheng
Stroke and Vascular Neurology Dec 2024, 9 (6) 738-740; DOI: 10.1136/svn-2024-003100
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Recurrent intracerebral haemorrhages as main manifestations in cerebral amyloid angiopathy-related inflammation
Ya Su, Yi Dong, Xin Cheng
Stroke and Vascular Neurology Dec 2024, 9 (6) 738-740; DOI: 10.1136/svn-2024-003100
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