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KMID : 1144720230270010062
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Investigative Magnetic Resonance Imaging
2023 Volume.27 No. 1 p.62 ~ p.66
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Multimodal Imaging Findings of Cerebral Amyloid Angiopathy Related Inflammation With Unusual Clinical Manifestation: A Case Report
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Cho Jae-Won
Park Mi-Na
Yoo Han-Soo
Joo Bio
Ahn Sung-Jun
Lee Jae-Hoon
Ryu Young-Hoon
Suh Sang-Hyun
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Abstract
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Cerebral amyloid angiopathy-related inflammation (CAA-RI) is a rare encephalopathy characterized by the coexistence of a perivascular inflammatory reaction in patients with cerebral amyloid angiopathy. CAA-RI diagnosis is challenging as its final diagnosis requires invasive procedures such as autopsy or brain biopsy. Therefore, multimodal imaging approaches with clinical considerations are essential for the probable diagnosis of CAA-RI. In particular, in the case of CAA-RI presented with uncommon clinical symptoms, the need for imaging in diagnosis is further highlighted by difficulties of clinical approaches. Herein, we report a case of CAA-RI with unusual clinical manifestation diagnosed using multimodal imaging including magnetic resonance imaging (MRI) and amyloid positron emission tomography-computed tomography (PET-CT). Multimodal imaging approaches using adequate MRI sequences and PET-CT scans could facilitate the diagnosis of CAA-RI without requiring invasive pathological confirmation.
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KEYWORD
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Cerebral amyloid angiopathy, MRI, PET/CT
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