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SHR Neuro Cancer Cardio Lipid Metab Microb

Sellimi, A; Panteleienko, L; Mallon, D; Fandler-Höfler, S; Oliver, R; Harvey, V; Zandi, MS; Banerjee, G; Werring, DJ.
Inflammation in Cerebral Amyloid Angiopathy-Related Transient Focal Neurological Episodes
ANN NEUROL. 2025; Doi: 10.1002/ana.27164 [OPEN ACCESS]
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Co-authors Med Uni Graz
Fandler-Höfler Simon
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Abstract:
Transient focal neurological episodes (TFNE), often associated with convexity subarachnoid hemorrhage (cSAH), are common in cerebral amyloid angiopathy (CAA), but their pathophysiology remains incompletely understood. In six patients with unremitting TFNE, using high-resolution post-contrast magnetic resonance imaging and vessel wall imaging (VWI), we found various combinations of transient leptomeningeal, parenchymal and vessel wall enhancement; in 5 of 6 the enhancement included regions corresponding anatomically to symptoms. Three patients had resolution of TFNE and enhancement (2 with corticosteroid treatment, 1 without). Our observations suggest that inflammation might contribute to the pathophysiology of CAA-related TFNE and cSAH, with potential wider relevance for the associated high risks of recurrent ICH in CAA more generally. ANN NEUROL 2025;97:475-482.
Find related publications in this database (using NLM MeSH Indexing)
Humans - administration & dosage
Cerebral Amyloid Angiopathy - complications, diagnostic imaging
Aged - administration & dosage
Female - administration & dosage
Male - administration & dosage
Magnetic Resonance Imaging - administration & dosage
Aged, 80 and over - administration & dosage
Middle Aged - administration & dosage
Inflammation - diagnostic imaging
Subarachnoid Hemorrhage - complications, diagnostic imaging

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