Tyler K L, Poletti C E, Heros R C
J Neurosurg. 1982 Aug;57(2):286-9. doi: 10.3171/jns.1982.57.2.0286.
Cerebral amyloid angiopathy (CAA) has been associated with atypical dementia and a variety of other neurological disorders. Intracerebral hemorrhage is the most striking manifestation of CAA. A 63-year-old patient is described who sustained four intracerebral hemorrhages although he had no predisposing factors other than CAA. The neurological and pathological features of CAA are reviewed, with particular emphasis on the problem of CAA-associated intracerebral hemorrhage. On the basis of the experience with this case, it is recommended that adjacent brain parenchyma be biopsied in all patients undergoing evacuation of intracerebral hematomas of unclear etiology.
脑淀粉样血管病（CAA）与非典型痴呆及多种其他神经系统疾病有关。脑出血是CAA最显著的表现。本文描述了一名63岁的患者，尽管除CAA外没有其他诱发因素，但他发生了四次脑出血。本文回顾了CAA的神经学和病理学特征，特别强调了CAA相关脑出血的问题。基于该病例的经验，建议对所有病因不明的脑内血肿清除术患者的相邻脑实质进行活检。
