J Korean Soc Radiol.  2023 Sep;84(5):1140-1145. 10.3348/jksr.2022.0113.

Cerebral Amyloid AngiopathyRelated Inflammation: A Case Report and Literature Review

Affiliations
  • 1Department of Radiology, Ewha Womans University College of Medicine, Ewha Womans University Mokdong Hospital, Seoul, Korea

Abstract

Cerebral amyloid angiopathy-related inflammation (CAA-RI) is an encephalopathy caused by inflammation of β-amyloid peptide deposition in cerebrovascular vessels. It is a rare disease that mainly occurs in the elderly and is characterized by rapidly progressive dementia, headache, seizures, and focal neurologic deficits. CAA-RI can demonstrate characteristic brain MRI findings and can be reversed by steroids or other immunosuppressive therapies. Here, we report a case of CAA-RI, which was initially misdiagnosed as a subacute infarction but was diagnosed while reviewing follow-up brain MRI images, and spontaneous remission was achieved.

Keyword

Cerebral Amyloid Angiopathy; Magnetic Resonance Imaging; Immunosuppression Therapy; Infarction
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