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Journal of Korean Neurosurgical Society 2006;39(6): 447-450.
Multiple Recurrent Cerebral Hemorrhages Related to Cerebral Amyloid Angiopathy with Arterial Hypertension.
Jae Hyun Jung, Dong Ah Shin, Tae Sik Gong, Chang Young Kwon
Department of Neurosurgery, Presbyterian Medical Center, Jeonju, Korea. cistern@hanmail.net
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.
Key Words: Cerebral amyloid angiopathy; Recurrent cerebral hemorrhages
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