Cerebral amyloid angiopathy in a young man with a history of traumatic brain injury: a case report and review of the literature

Acta Neurochir (Wien). 2017 Jan;159(1):15-18. doi: 10.1007/s00701-016-3004-0. Epub 2016 Nov 4.

Abstract

Cerebral amyloid angiopathy (CAA), a cause of recurrent and multiple lobar hemorrhages, characteristically occurs in persons aged ≥55 years. We report a case of a 32-year-old male who had recurrent hemorrhage in the left multiple lobes, with a history of traumatic brain injury and hematoma evacuation at the age of 1 year. He underwent surgical treatment and was histopathologically diagnosed as having CAA. The literature review yielded six CAA cases, including ours, aged less than 55 years. All were male and four had histories of severe TBI, suggesting that male sex and TBI may be associated with CAA in young persons.

Keywords: Amyloid angiopathy; Cerebral; Lobar hemorrhage; Traumatic brain injury; Young.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Brain Injuries, Traumatic / complications*
  • Cerebral Amyloid Angiopathy / complications
  • Cerebral Amyloid Angiopathy / etiology*
  • Cerebral Hemorrhage / etiology*
  • Humans
  • Male