Intracerebral hemorrhage caused by cerebral amyloid angiopathy: A case report

Yin Kin Wong, Jionn Jong Wu, Che Chio Hsu, Song Yu Liao, Ming Teng Chung, Wei Hwa Lee

Research output: Contribution to journalArticlepeer-review

Abstract

Cerebral amyloid angiopathy (CAA) accounts for approximately 10% of spontaneous intracerebral hemorrhages (ICH), and typically occurs in the cortex and subcortical white matter. It is characterized by the deposition of amyloid fibrils in the leptomeningeal, cortical and subcortical arteries. Pathologically, amyloid is stained pink with Congo red and shows yellow- green birefringence when viewed under polarized light. Although there have been many reports of CAA in the literature, it has rarely been described in Taiwan. This is the report of a case of a 75-year-old man with ICH caused by CAA. The postoperative course was uneventful. The incidence of this disease increases with age. The authors, therefore, suggest conducting a brain biopsy and special stain for CAA in each operative case of spontaneous ICH, especially in the elderly.

Original languageEnglish
Pages (from-to)55-60
Number of pages6
JournalChinese Medical Journal (Taipei)
Volume62
Issue number1
Publication statusPublished - Jan 1999
Externally publishedYes

Keywords

  • Cerebral amyloid angiopathy
  • Hypertension
  • Intracerebral hemorrhage

ASJC Scopus subject areas

  • Medicine(all)

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