Iatrogenic cerebral amyloid angiopathy and Alzheimer's disease co‐pathology

Abstract Iatrogenic cerebral amyloid angiopathy, a disease caused by contact with neurosurgical material or human growth hormone contaminated by beta‐amyloid peptide (Aβ), has a prion‐like transmission mechanism. We present a series of three patients under 55 years of age who underwent cranial surge...

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Main Authors: Francisco Hernández‐Fernández, Isabel Martínez‐Fernández, Rosa Barbella‐Aponte, Inmaculada Feria Vilar, Oscar Ayo‐Martín, Jorge García‐García, Rosa Collado, Alberto Andrés, Mar Hernández‐Guillamón, Francisco José Pena Pardo, Cristina Barrena, Miguel de laFuente, Gemma Serrano‐Heras, María Melero, Elena Lozano Setién, Luis López, Tomás Segura
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Annals of Clinical and Translational Neurology
Online Access:https://doi.org/10.1002/acn3.52278
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Summary:Abstract Iatrogenic cerebral amyloid angiopathy, a disease caused by contact with neurosurgical material or human growth hormone contaminated by beta‐amyloid peptide (Aβ), has a prion‐like transmission mechanism. We present a series of three patients under 55 years of age who underwent cranial surgery. All of them developed multiple cerebral hemorrhages, transient focal neurological deficits, and/or cognitive impairment after 3–4 decades. MRI was compatible with CAA, and Aβ deposition was confirmed. The third patient, who had a ventriculoperitoneal valve, also showed Aβ deposition in the peritoneum and diagnostic biomarkers of Alzheimer's disease. Co‐pathology with Alzheimer disease and its iatrogenic transmission should be considered.
ISSN:2328-9503