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...

Full description

Saved in:
Bibliographic Details
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
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832592679742996480
author 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
author_facet 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
author_sort Francisco Hernández‐Fernández
collection DOAJ
description 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.
format Article
id doaj-art-e482a0c34a5041dfb41235784890c0f2
institution Kabale University
issn 2328-9503
language English
publishDate 2025-01-01
publisher Wiley
record_format Article
series Annals of Clinical and Translational Neurology
spelling doaj-art-e482a0c34a5041dfb41235784890c0f22025-01-21T05:41:43ZengWileyAnnals of Clinical and Translational Neurology2328-95032025-01-0112123524110.1002/acn3.52278Iatrogenic cerebral amyloid angiopathy and Alzheimer's disease co‐pathologyFrancisco Hernández‐Fernández0Isabel Martínez‐Fernández1Rosa Barbella‐Aponte2Inmaculada Feria Vilar3Oscar Ayo‐Martín4Jorge García‐García5Rosa Collado6Alberto Andrés7Mar Hernández‐Guillamón8Francisco José Pena Pardo9Cristina Barrena10Miguel de laFuente11Gemma Serrano‐Heras12María Melero13Elena Lozano Setién14Luis López15Tomás Segura16Neurology Department Albacete Universitary Hospital Albacete SpainNeurology Department Albacete Universitary Hospital Albacete SpainPathology Department Albacete Universitary Hospital Albacete SpainNeurology Department Albacete Universitary Hospital Albacete SpainNeurology Department Albacete Universitary Hospital Albacete SpainNeurology Department Albacete Universitary Hospital Albacete SpainRadiology Department Albacete Universitary Hospital Albacete SpainNeurology Department Albacete Universitary Hospital Albacete SpainResearch Unit Vall d'Hebron Universitary Hospital Barcelona SpainNuclear Medicine Department Ciudad Real Universitary Hospital Ciudad Real SpainNeurosurgery Department Albacete Universitary Hospital Albacete SpainRadiology Department Albacete Universitary Hospital Albacete SpainResearch Unit Albacete Universitary Hospital Albacete SpainInternal Medicine Department Albacete Universitary Hospital Albacete SpainRadiology Department Albacete Universitary Hospital Albacete SpainNeurology Department Vigo Universitary Hospital Vigo SpainNeurology Department Albacete Universitary Hospital Albacete SpainAbstract 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.https://doi.org/10.1002/acn3.52278
spellingShingle 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
Iatrogenic cerebral amyloid angiopathy and Alzheimer's disease co‐pathology
Annals of Clinical and Translational Neurology
title Iatrogenic cerebral amyloid angiopathy and Alzheimer's disease co‐pathology
title_full Iatrogenic cerebral amyloid angiopathy and Alzheimer's disease co‐pathology
title_fullStr Iatrogenic cerebral amyloid angiopathy and Alzheimer's disease co‐pathology
title_full_unstemmed Iatrogenic cerebral amyloid angiopathy and Alzheimer's disease co‐pathology
title_short Iatrogenic cerebral amyloid angiopathy and Alzheimer's disease co‐pathology
title_sort iatrogenic cerebral amyloid angiopathy and alzheimer s disease co pathology
url https://doi.org/10.1002/acn3.52278
work_keys_str_mv AT franciscohernandezfernandez iatrogeniccerebralamyloidangiopathyandalzheimersdiseasecopathology
AT isabelmartinezfernandez iatrogeniccerebralamyloidangiopathyandalzheimersdiseasecopathology
AT rosabarbellaaponte iatrogeniccerebralamyloidangiopathyandalzheimersdiseasecopathology
AT inmaculadaferiavilar iatrogeniccerebralamyloidangiopathyandalzheimersdiseasecopathology
AT oscarayomartin iatrogeniccerebralamyloidangiopathyandalzheimersdiseasecopathology
AT jorgegarciagarcia iatrogeniccerebralamyloidangiopathyandalzheimersdiseasecopathology
AT rosacollado iatrogeniccerebralamyloidangiopathyandalzheimersdiseasecopathology
AT albertoandres iatrogeniccerebralamyloidangiopathyandalzheimersdiseasecopathology
AT marhernandezguillamon iatrogeniccerebralamyloidangiopathyandalzheimersdiseasecopathology
AT franciscojosepenapardo iatrogeniccerebralamyloidangiopathyandalzheimersdiseasecopathology
AT cristinabarrena iatrogeniccerebralamyloidangiopathyandalzheimersdiseasecopathology
AT migueldelafuente iatrogeniccerebralamyloidangiopathyandalzheimersdiseasecopathology
AT gemmaserranoheras iatrogeniccerebralamyloidangiopathyandalzheimersdiseasecopathology
AT mariamelero iatrogeniccerebralamyloidangiopathyandalzheimersdiseasecopathology
AT elenalozanosetien iatrogeniccerebralamyloidangiopathyandalzheimersdiseasecopathology
AT luislopez iatrogeniccerebralamyloidangiopathyandalzheimersdiseasecopathology
AT tomassegura iatrogeniccerebralamyloidangiopathyandalzheimersdiseasecopathology