[Recurrent intraparenchimal haemorrhages in a patient with cerebral amyloidotic angiopathy: description of one autopsy case]

Pathologica. 2006 Feb;98(1):44-7.
[Article in Italian]

Abstract

Cerebral amyloidotic angiopathy represents the most frequent cause of lobar haematoma in young patients and represents 5-10% of the non-traumatic cerebral haemorrhages. In the present work, we describe one autoptic case of recurrent cerebral haemorrhages in a 58-year-old woman. Macroscopically in the brain multiple haemorragic areas were present in the right frontal pole, right frontal and temporo-parietal lobes with homolateral ventricular inundation. The histological, histochemical, immunohistochemical, ultrastructural and biomolecular investigations confirmed the presence of amyloid deposits in the middle-size and little-size cerebral arteries. We report, moreover, a novel mutation (Leu705Val) within the Abeta sequence of a AbetaPP in a family with autosomal dominant, recurrent intracerebral hemorrhages beginning in the sixth decade of life.

Publication types

  • Case Reports
  • English Abstract
  • Review

MeSH terms

  • Aged
  • Amino Acid Substitution
  • Amyloid beta-Protein Precursor / genetics*
  • Cerebral Amyloid Angiopathy, Familial / classification
  • Cerebral Amyloid Angiopathy, Familial / complications
  • Cerebral Amyloid Angiopathy, Familial / diagnosis
  • Cerebral Amyloid Angiopathy, Familial / genetics
  • Cerebral Amyloid Angiopathy, Familial / pathology*
  • Cerebral Hemorrhage / etiology*
  • Cerebral Hemorrhage / pathology
  • Depressive Disorder / complications
  • Female
  • Genes, Dominant
  • Genetic Heterogeneity
  • Hematoma / etiology
  • Hematoma / pathology
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Mutation, Missense
  • Point Mutation
  • Recurrence
  • Speech Disorders / etiology
  • Suicide, Attempted
  • Tomography, X-Ray Computed

Substances

  • Amyloid beta-Protein Precursor