Cerebral amyloid angiopathy: heterogeneity of the pathology
YU.M. KONOVALOVA, T.M. SUKHOPLYUEVA, T.V. BAIDINA, M.A. DANILOVA
E.A. Vagner Perm State Medical University, Perm
Contact details:
Danilova M.A. — PhD, Associate Professor of the Department of Neurology and Medical Genetics
Address: 26 Petropavlovskaya St., 614000 Perm, Russian Federation, tel.: +7-902-640-61-72, e-mail: m.a.danilova82@mail.ru
Cerebral amyloid angiopathy is a phenomenon that pathogenetically combines vascular and neurodegenerative changes in the brain and is characterized by a wide range of clinical and radiological signs. Diagnosis of this pathology is important for assessing the risks of hemorrhagic and ischemic complications, the feasibility of using antithrombotic and anticoagulant drugs, as well as for further prognosis of cognitive impairment. Adequate therapy and correction of cardiovascular risk factors can slow down the disease progression and improve the quality of life of patients and their relatives. The review considers the etiology and pathogenesis of cerebral amyloid angiopathy, its clinical manifestations and phenotypes. The principles of diagnostics including modified Boston criteria as well as up-to-date concepts of the treatment are presented.
Key words: β-amyloid, intracerebral hematomas, cortical superficial siderosis, cognitive impairment, neuroimaging.
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