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Rehabilitation Practice and Science

Translated Title

大腦類澱粉血管病變:高齡患者腦出血之常見原因：病例報告

Abstract

Cerebral amyloid angiopathy, defined as deposition of amyloid in the walls of brain vessels, is belived to be a common cause of intracerebral hemorrhage in the elderly. It differentiates from the intracerebral hemorrhage of hypertension by its specific location of bleeding. The hematoma from cerebral amyloid angiopathy, sometimes multilobar, is always located in the brain cortices and the white matter beneath them. In the previous reports, the presence of cerebral amyloid angiopathy accounts for 5-10% of non-traumatic cerebral hemorrhage. However, it has been overlooked or misdiagnosed all the time because of the lack of tissue proof. Recurrent bleeding occurs so often, as it is rare in hypertensive intracerebral hemorrhage, that weshould know how to detect cerebral amyloid angiopathy and prevent rebleeding. We report a case of intracerebral hemorrhage which was misdiagnosed as tumor bleeding. The patient underwent craniotomy for evacuation of hematoma and tumor excision. There was no tumor tissue in the specimen but it showed amyloid angiopathy. We presented her clinical course and discussed the differential diagnosis of intracerebral hemorrhage. We remind all the physiatrists that cerebral amyloid angiopathy is a possible cause of intracerebral hemorrhage, and not rare.

Language

Traditional Chinese

First Page

91

Last Page

96

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