Reversible leukoencephalopathy in cerebral amyloid angiopathy presenting as subacute dementia

被引：20

作者：

Sarazin, M

Amarenco, P

Mikol, J

Dimitri, D

Lot, G

Bousser, MG

机构：

[1] Hop Bretonneau, Serv Psychogeriatrie, F-75885 Paris 18, France

[2] Hop Bichat, Serv Neurol, F-75877 Paris, France

[3] Hop Lariboisiere, Serv Anat & Cytol Pathol, F-75475 Paris, France

[4] Hop Lariboisiere, Serv Neurochirurg, F-75010 Paris, France

来源：

EUROPEAN JOURNAL OF NEUROLOGY | 2002年 / 9卷 / 04期

关键词：

amyloid angiopathy; dementia; leukoencephalopathy;

D O I：

10.1046/j.1468-1331.2002.00393.x

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

This report concerns a 71-year-old woman who had rapid progressive dementia along with myocloni and increased blood pressure. Cranial computed tomography and magnetic resonance imaging scans showed bilateral widespread white matter changes with mass effect. A brain biopsy revealed an amyloid angiopathy in leptomeningeal as well as cerebral cortex arteries. After 2 months of antihypertensive treatment, a dramatic improvement of cognitive functions and a spectacular regression of leukoencephalopathy were observed. We suggest that hypertensive encephalopathy may worsen or reveal cerebral amyloid angiopathy.

引用

页码：353 / 358

页数：6

共 11 条

[1] CEREBRAL AMYLOID ANGIOPATHY [J].