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Cerebral amyloid angiopathies: a pathologic, biochemical, and genetic view.
[hereditary cerebral hemorrhage with amyloidosis]
Amyloid
deposition
can
take
place
in
the
walls
of
arteries
,
arterioles
,
and
,
less
often
,
capillaries
and
veins
of
the
central
nervous
system
,
a
phenomenon
known
as
cerebral
amyloid
angiopathy
(
CAA
)
.
The
major
clinicopathological
manifestations
of
CAA
include
cerebral
hemorrhage
,
ischemic
lesions
,
and
dementia
.
CAA
may
be
classified
according
to
the
amyloid
protein
deposited
.
In
the
most
common
form
,
sporadic
CAA
,
and
in
CAA
related
to
sporadic
Alzheimer
disease
(
AD
)
.
A
beta
deposition
is
characteristic
.
CAA
can
also
be
severe
in
variants
of
familial
AD
caused
by
mutations
of
the
amyloid-
beta
precursor
protein
or
presenilin-
1
genes
in
which
deposition
of
A
beta
variants
and
/
or
wild-
type
A
beta
occurs
.
Other
amyloid
proteins
involved
in
familial
CAAs
include
1
)
the
mutant
cystatin
C
(
ACys
)
in
hereditary
cerebral
hemorrhage
with
amyloidosis
of
Icelandic
type
,
2
)
variant
transthyretins
(
ATTR
)
in
meningo-
vascular
amyloidoses
,
3
)
mutated
gelsolin
(
AGel
)
in
familial
amyloidosis
of
Finnish
type
,
4
)
disease-associated
prion
protein
(
PrP
(
Sc
)
)
in
a
variant
of
the
Gerstmann-
Sträussler-
Scheinker
syndrome
,
and
5
)
ABri
and
ADan
in
CAAs
observed
in
the
recently
described
BRI
2
gene
-related
dementias
,
familial
British
dementia
and
familial
Danish
dementia
,
respectively
.
This
review
addresses
issues
related
to
the
correlation
between
morphology
,
biochemistry
,
and
genetics
,
and
briefly
discusses
both
the
pathogenesis
and
animal
models
of
CAAs
.
Diseases
Validation
Diseases presenting
"dementia"
symptom
adrenomyeloneuropathy
alexander disease
cadasil
canavan disease
carcinoma of the gallbladder
cushing syndrome
gm1 gangliosidosis
hereditary cerebral hemorrhage with amyloidosis
homocystinuria without methylmalonic aciduria
hydrocephalus with stenosis of the aqueduct of sylvius
inclusion body myositis
phenylketonuria
sneddon syndrome
x-linked adrenoleukodystrophy
This symptom has already been validated