TITLE:
Recurrent Transient Ischemic Attacks Revealing Cerebral Amyloid Angiopathy: A Comprehensive Case
AUTHORS:
Kenza Khelfaoui Tredano, Houyam Tibar, Kaoutar El Alaoui Taoussi, Wafae Regragui, Abdeljalil El Quessar, Ali Benomar
KEYWORDS:
Cerebral Amyloid Angiopathy, Transient Ischemic Attacks, Recurrent Hemiparesis, Susceptibility-Weighted Imaging, Cardioembolic Origin, Bleeding Risk Management, Differential Diagnosis
JOURNAL NAME:
World Journal of Neuroscience,
Vol.14 No.1,
February
19,
2024
ABSTRACT: 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.