Cerebral amyloid angiopathy related inflammation (CAAri)

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Cerebral amyloid angiopathy related inflammation (CAAri). Rapid cognitive decline, Headaches, Seizures. Fully referenced neurology checklist.

Clinical features

  • Rapid cognitive decline
  • Headaches
  • Seizures
  • Impaired consciousness
  • Behavioural change
  • Focal neurological deficits
  • It may be asymptomatic

Magnetic resonance imaging (MRI): white matter hyperintensities

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Magnetic resonance imaging (MRI): other features

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Cerebrospinal fluid (CSF) analysis

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Other investigations

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Differential diagnosis

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Immunosuppressant treatment

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Prognosis

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References

  1. Auriel E, Charidimou A, Gurol ME, et al. Validation of clinicoradiological criteria for the diagnosis of cerebral amyloid angiopathy-related inflammation. JAMA Neurol 2016; 73:197-202.
  2. Mendonça MD, Caetano A, Pinto M, Cruz e Silva V, Viana-Baptista M. Stroke-like episodes heralding a reversible encephalopathy: microbleeds as the key to the diagnosis of cerebral amyloid angiopathy-related inflammation-a case report and literature review. J Stroke Cerebrovasc Dis 2015; 24:e245-250.
  3. Salvarani C, Morris JM, Giannini C, Brown RD Jr, Christianson T, Hunder GG. Imaging findings of cerebral amyloid angiopathy, aβ-related angiitis (ABRA), and cerebral amyloid angiopathy-related inflammation: a single-institution 25-year experience. Medicine (Baltimore) 2016; 95:e3613.
  4. Martín-Jiménez P, Sánchez-Tornero M, Llamas-Velasco S, et al. Cerebral amyloid angiopathy-related inflammation: clinical features and treatment response in a case series. Neurologia (Engl Ed) 2023 Jul 10:S2173-5808(23)00041-X.
  5. Bravo GÁ, Cirera LS, Torrentà LR. Clinical and radiological features of cerebral amyloid angiopathy-related inflammation. Neurol Sci 2021 (Online ahead of print).
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