Wagner, Andrea and Maderer, Jonas and Wilfling, Sibylle and Kaiser, Johanna and Kilic, Mustafa and Linker, Ralf A. and Schebesch, Karl-Michael and Schlachetzki, Felix (2021) Cerebrovascular Risk Factors in Possible or Probable Cerebral Amyloid Angiopathy, Modifier or Bystander? FRONTIERS IN NEUROLOGY, 12: 676931. ISSN 1664-2295,
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Goal: Cerebral amyloid angiopathy (CAA) is a frequent cause of atypical intracerebral hemorrhage (ICH) in the elderly. Stroke risk factors such as arterial hypertension (AHT), atrial fibrillation (AFib), diabetes mellitus (DM), and renal dysfunction (RD) are increasingly apparent in these patients. In this retrospective study, we analyzed the presence of these stroke risk factors in different initial CAA presentations comprising cerebral microbleeds (CMB), acute ischemic stroke (AIS), cortical superficial hemosiderosis (cSS), or lobar ICH (LICH) and evaluated their influence on the initial clinical presentation of patients with CAA. Material and Methods: We identified patients with at least possible CAA defined by the modified Boston criteria admitted to the Department of Neurology or Neurosurgery from 2002 to 2018. Findings: In the overall cohort of 209 patients, we analyzed the correlation between the number of stroke risk factors and the initial clinical presentation of patients with CAA and could show the high multimorbidity of the collective. There are large differences between the subgroups with different initial clinical presentations, e.g., patients with CMB as initial CAA presentation have the highest number of cerebrovascular risk factors and recurrent AIS, whereas AFib is more frequent in the Neurosurgery Department. Conclusion: There is a distinct overlap between the subgroups of CAA manifestations and stroke risk factors that need to be verified in larger patient collectives. Since these comorbidities are likely to influence the clinical course of CAA, they represent possible targets for secondary prevention until specific treatment for CAA becomes available.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | BLOOD-PRESSURE CONTROL; INTRACEREBRAL HEMORRHAGE; SUPERFICIAL SIDEROSIS; ATRIAL-FIBRILLATION; STROKE; DISEASE; MICROBLEEDS; PREVALENCE; DEMENTIA; STENOSIS; cerebral amyloid angiopathy; intracerebral hemorrhage; long term outcome; risk factors (cardiovascular) comorbidities; computer tomography; magnetic resonance imaging |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Neurochirurgie Medicine > Lehrstuhl für Neurologie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 05 Jul 2022 06:59 |
| Last Modified: | 05 Jul 2022 06:59 |
| URI: | https://pred.uni-regensburg.de/id/eprint/45593 |
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