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Ann Neurol ; 85(2): 284-290, 2019 02.
Article in English | MEDLINE | ID: mdl-30597599

ABSTRACT

Amyloid-ß transmission has been described in patients both with and without iatrogenic Creutzfeldt-Jakob disease; however, there is little information regarding the clinical impact of this acquired amyloid-ß pathology during life. Here, for the first time, we describe in detail the clinical and neuroimaging findings in 3 patients with early onset symptomatic amyloid-ß cerebral amyloid angiopathy following childhood exposure to cadaveric dura (by neurosurgical grafting in 2 patients and tumor embolization in a third). Our observations provide further in vivo evidence that cerebral amyloid angiopathy might be caused by transmission of amyloid-ß seeds (prions) present in cadaveric dura and have diagnostic relevance for younger patients presenting with suspected cerebral amyloid angiopathy. Ann Neurol 2019; 1-7 ANN NEUROL 2019;85:284-290.


Subject(s)
Amyloid beta-Peptides/metabolism , Cerebral Amyloid Angiopathy/diagnostic imaging , Dura Mater/transplantation , Adult , Age of Onset , Cadaver , Cancer Survivors , Cerebral Amyloid Angiopathy/metabolism , Cerebral Amyloid Angiopathy/pathology , Cerebral Amyloid Angiopathy/physiopathology , Craniotomy , Dura Mater/metabolism , Embolization, Therapeutic , Female , Hemangioma, Cavernous, Central Nervous System/therapy , Humans , Iatrogenic Disease , Magnetic Resonance Imaging , Male , Middle Aged , Papilloma, Choroid Plexus/surgery , Parotid Neoplasms/therapy , Skull Fractures/surgery
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