|
KMID : 1100220040030010060
|
|
Dementia and Neurocognitive Disorders
2004 Volume.3 No. 1 p.60 ~ p.64
|
|
|
A Case of Probable Cerebral Amyloid Angiopathy Presenting with Progressive Dementia and Recurrent Stroke
|
|
Yoo Bong-Goo
Kwak Kang-Ho
Kim Tae-You
Kim Kwang-Soo
Yoo Kyung-Moo
|
|
|
Abstract
|
|
|
|
Cerebral amyloid angiopathy can cause intracerebral hemorrhage, progressive dementia, seizure and transient ischemic attacks. dementia is a relatively common manifestation and associated with the presence of recurrent strokes and leukoencephalopathy. A 66-year-old right-handed man with hypertension and recurrent strokes presented with rapidly progressive dementia and sudden onset of dysarthia and dizziness. He showed memory impairment, personality and behavioral changes, and executive dysfunction for one and a half years. These symptoms developed insidiously and quite rapidly without fluctuation. Brain CT showed a small hemorrhage in the right cerebellum. Brain MRI, especially gradient-echo images revealed multiple cortical and cortico-subcortical microbleeds. Four weeks later, right hemiparesis suddenly developed and a repeated MRI showed a new left corona radiata infarction. We learn from this case that gradient-echo MR images should be performed in patients with rapidly progressive dementia and recurrent strokes.
|
|
|
KEYWORD
|
|
|
Cerebral Amyloid Angiopathy, Dementia, Stroke
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
 
|