Amyloid "spells" trouble

Abstract

Subsequently, a brain MRI scan including T2 * -weighted gradient-recalled echo (T2 * -GRE) and susceptibility-weighted imaging (SWI) showed extensive subarachnoid and superficial cortical haemosiderin staining and multiple strictly lobar cerebral microbleeds (figure B) indicating previous bleeding, and was consistent with a diagnosis of cerebral amyloid angiopathy.1 Antiplatelet medication was stopped and he was treated with antihypertensives. The most common clinical presentation is with symptomatic spontaneous lobar intracerebral haemorrhage in elderly people.1 Cerebral amyloid angiopathy is also associated with transient focal neurological episodes as in our patient's case.