Skip to main content Accessibility help
×
Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-28T15:10:45.189Z Has data issue: false hasContentIssue false

30 - Cerebral Amyloid Angiopathy (CAA)

Should It Be a Contraindication for Drugs Like Lecanemab?

Published online by Cambridge University Press:  19 January 2024

Daniel Gibbs
Affiliation:
Emeritus of Oregon Health and Science University
Get access

Summary

CAA is vascular disease of the brain in which beta-amyloid is deposited in the walls of small arteries and capillaries. The amyloid replaces smooth muscle cells, causing vessel wall thickening and stiffness. This can result in leaks and reduced blood flow in these small blood vessels. Tiny hemorrhages and small strokes are seen surrounding the affected blood vessels. In the elderly, CAA is a major cause of serious bleeding in the various lobes of the brain. Genetically, it can occur sporadically or in families. There is often but not always an overlap with Alzheimer’s disease.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2024

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Viswanathan, A, Greenberg, SM. Cerebral amyloid angiopathy in the elderly. Ann Neurol 2011; 70: 871880. https://doi.org/10.1002/ana.22516 (open access).CrossRefGoogle ScholarPubMed
Chokesuwattanaskul, A, Zotin, MCZ, Schoemaker, D, et al. Apathy in patients with cerebral amyloid angiopathy: A multimodal neuroimaging study. Neurology 2023 (published online ahead of print on March 20, 2023). https://doi.org/10.1212/WNL.0000000000207200.CrossRefGoogle Scholar
Kozberg, MG, Perosa, V, Gurol, ME, van Veluw, SJ. A practical approach to the management of cerebral amyloid angiopathy. Int J Stroke 2021; 16: 356369. https://doi.org/10.1177/1747493020974464 (open access).CrossRefGoogle Scholar
Rosand, J, Hylek, EM, O’Donnell, HC, Greenberg, SM. Warfarin-associated hemorrhage and cerebral amyloid angiopathy: A genetic and pathologic study. Neurology 2000; 55: 947951. https://doi.org/10.1212/wnl.55.7.947. PMID: 11061249.CrossRefGoogle ScholarPubMed
Reish, NJ, Jamshidi, P, Stamm, B, et al. Multiple cerebral hemorrhages in a patient receiving lecanemab and treated with t-PA for stroke. N Engl J Med 2023; 388: 478. https://doi.org/10.1056/NEJMc2215148.CrossRefGoogle Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

  • Cerebral Amyloid Angiopathy (CAA)
  • Daniel Gibbs, Emeritus of Oregon Health and Science University
  • Book: Dispatches from the Land of Alzheimer's
  • Online publication: 19 January 2024
  • Chapter DOI: https://doi.org/10.1017/9781009430067.031
Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

  • Cerebral Amyloid Angiopathy (CAA)
  • Daniel Gibbs, Emeritus of Oregon Health and Science University
  • Book: Dispatches from the Land of Alzheimer's
  • Online publication: 19 January 2024
  • Chapter DOI: https://doi.org/10.1017/9781009430067.031
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Cerebral Amyloid Angiopathy (CAA)
  • Daniel Gibbs, Emeritus of Oregon Health and Science University
  • Book: Dispatches from the Land of Alzheimer's
  • Online publication: 19 January 2024
  • Chapter DOI: https://doi.org/10.1017/9781009430067.031
Available formats
×