Recurrent Transient Ischemic Attacks Revealing Cerebral Amyloid Angiopathy: A Comprehensive Case  

作　　者：Kenza Khelfaoui Tredano Houyam Tibar Kaoutar El Alaoui Taoussi Wafae Regragui Abdeljalil El Quessar Ali Benomar Kenza Khelfaoui Tredano;Houyam Tibar;Kaoutar El Alaoui Taoussi;Wafae Regragui;Abdeljalil El Quessar;Ali Benomar(Neurology and Interventional Neuroradiology Department, Cheikh Zaied International Hospital, International University Abulcasis of Health Sciences, Rabat, Morocco;Neurology and Neurogenetics Department, Specialties Hospital, Ibn Sina University Hospital, Mohammed 5 University, Rabat, Morocco)

机构地区：[1]Neurology and Interventional Neuroradiology Department, Cheikh Zaied International Hospital, International University Abulcasis of Health Sciences, Rabat, Morocco [2]Neurology and Neurogenetics Department, Specialties Hospital, Ibn Sina University Hospital, Mohammed 5 University, Rabat, Morocco

出　　处：《World Journal of Neuroscience》2024年第1期33-36,共4页神经科学国际期刊（英文）

摘　　要：This case report investigates the manifestation of cerebral amyloid angiopathy (CAA) through recurrent Transient Ischemic Attacks (TIAs) in an 82-year-old patient. Despite initial diagnostic complexities, cerebral angiography-MRI revealed features indicative of CAA. Symptomatic treatment resulted in improvement, but the patient later developed a fatal hematoma. The discussion navigates the intricate therapeutic landscape of repetitive TIAs in the elderly with cardiovascular risk factors, emphasizing the pivotal role of cerebral MRI and meticulous bleeding risk management. The conclusion stresses the importance of incorporating SWI sequences, specifically when suspecting a cardioembolic TIA, as a diagnostic measure to explore and exclude CAA in the differential diagnosis. This case report provides valuable insights into these challenges, highlighting the need to consider CAA in relevant cases.This case report investigates the manifestation of cerebral amyloid angiopathy (CAA) through recurrent Transient Ischemic Attacks (TIAs) in an 82-year-old patient. Despite initial diagnostic complexities, cerebral angiography-MRI revealed features indicative of CAA. Symptomatic treatment resulted in improvement, but the patient later developed a fatal hematoma. The discussion navigates the intricate therapeutic landscape of repetitive TIAs in the elderly with cardiovascular risk factors, emphasizing the pivotal role of cerebral MRI and meticulous bleeding risk management. The conclusion stresses the importance of incorporating SWI sequences, specifically when suspecting a cardioembolic TIA, as a diagnostic measure to explore and exclude CAA in the differential diagnosis. This case report provides valuable insights into these challenges, highlighting the need to consider CAA in relevant cases.

关 键 词：Cerebral Amyloid Angiopathy Transient Ischemic Attacks Recurrent Hemiparesis Susceptibility-Weighted Imaging Cardioembolic Origin Bleeding Risk Management Differential Diagnosis 

分 类 号：R74[医药卫生—神经病学与精神病学]