A Scarlet Enemy of the Brain – A Practical Approach to Diagnosis and Management of Cerebral Amyloid Angiopathy

*Sue Yin Lim, Amlyn Evans, Tatiana Mihalova

Department of Clinical Neurology, Queen’s Medical Centre, Nottingham, UK
*Correspondence to sue_yin23@yahoo.com

Disclosure: No potential conflict of interest.
Received: 19.03.14 Accepted: 22.04.14
Citation: EMJ Neurol. 2014;1:65-71.


We present two cases of elderly patients admitted with neurological dysfunction due to isolated focal cortical subarachnoid bleeding and intracerebral lobar haemorrhage, respectively. We discuss the distinguishing features in their clinical and radiological presentations which led to their diagnosis of probable cerebral amyloid angiopathy (CAA). In the hope of encouraging thoughtful learning, we have designed a series of case-based questions with accompanying answers to explain the investigative pathways and management strategies in suspected cases of CAA.

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