Cerebral amyloid angiopathy

Posted by montanapets @montanapets, Dec 14, 2011

I was having an MRI to work up onset of headaches, 3 wks. duration and this was seen on the MRI. I'm an RN and scared out of my mind that I'm going to have a stroke. I'm not reading anything online that sounds like anyone can do anything. Is there any reason to go to Mayo? Might I still live a long life? Is there any chance the MRI was read incorrectly? I'm having a hard time here with all this.

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@nonipoppy

I just joined this site. My husband ( a very fit, active age 68) had a very large ICH in his right occipital lobe, also bleeding into his temporal & parietal lobes on 01/27/18. Was sitting at his computer & vision just went completely blurry; had been having headaches for about a week. He had been having cognitive/memory issues for the past 2 years. Took him to ER thinking detached retina, because no typical signs of stroke. He was in ICU 5 days, neuro step down 6 days & then at a rehab hospital for 2 weeks. He came very close to death in ICU (unresponsive for 36 hours, very labored breathing, eyes fixed when a light was shown in his eyes), total left side neglect by day 3, has lost the left side of his vision in both eyes & has significant memory & cognitive processing issues. Physically, he has come back almost completely...was riding a horse last weekend! He still has significant memory, vision & mental processing problems & is in outpatient rehab. Can't drive & doubt that he ever will again. He had a post release MRI with & w/o contrast, with multiplanar, multisequence imaging. It showed that he still had some residual blood in the occipital lobe, swelling had gone down, some other things that were over my head in my understanding & it did show about 5 spots of prior microbleeds. From all this, the neurology nurse practitioner we saw deduced (perhaps with the help of her supervising neurologist?? I don't know) came up with a "85-90% sure" diagnosis of CAA. I have tried to get a 2nd opinion from Dr. Steven Greenberg, who runs a research lab on CAA in Boston, by having him just review husband's scans & records, but was told he doesn't do that unless he sees the patient in person. Makes no sense to me since the only way to diagnose is to look at scans, records & history. I am trying to find someone who will give me a second opinion & if at all possible, tell me more about what to expect in terms of future bleeds, longevity, the stage he is in this process (ie, does he have a mild, moderate, or severe case of CAA??), did the locals give him the right kind of MRI to see all microbleeds or does he need a PET scan or something else, and anything else that would be helpful. I was hoping someone here could let me know if they have found anyone who will/can do this, without seeing him & just doing a review of his records & scans. Any assistance anyone (members, moderators or doctors) can offer would be greatly appreciated. Thanks

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@sistertwo Thank you so much for responding & most especially for the other post with the name of the Doctor at Mayo...I will be calling them tomorrow. I have read some many posts on a FB CAA group, I realize my chances of getting the information about prognosis are not good, but perhaps they can at least tell me if he has a sever, moderate or mild case. Not knowing anything makes we wonder every time I check on him if he made it through the night or his nap. He still sleeps a lot, even after 2 months, but one of his therapists said he needs to, so I let him sleep as much as he wants. Thank you again so very much for your posts & your prayers & positive thoughts...this has been so hard to take for both of us.

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@hopeful33250

@nonipoppy Hi Noni:

I hope that your contact with Mayo works out well for you. I look forward to hearing from you again.

Teresa

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@hopeful33250 Thank you Teresa & I will definitely let you know what I find out.

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I just joined this site today. I am on the East Coast in Delaware, 65 year old female, happily retired, and diagnosed with CAA last month after at least three separate episodes that I did not know at the time were episodes. The first was a "curtain" that drew across my left eye, lasted 3 minutes or so. I suspected a detached retina, but retina doc saw no abnormalities. A couple of weeks later while playing pickle ball I experienced a bout of double vision which lasted for about 15 minutes and went away. Didn't think much about it except that it was odd. One week later, again playing pickle ball, I was unable to "find my words" which lasted about 5 minutes, and then slightly and occasionally over the next 48 hours. Went to my cardiologist (I had mitral valve replacement last fall and am on Coumadin), who ordered an MRI. The MRI report came back with a dx of CAA and was referred to a neurologist who ordered a CTA with contrast of neck and head. CTA came back with no abnormalities. Neurologist believes it was my heart, not my brain that caused the episodes, but he doesn't know for sure. I found the CAA research group at MassGeneral, wrote them and asked for a doc with CAA experience between Philly, DC, Baltimore, and was given 5 docs between Univ of Penn Medical Center and Hopkins. I have engaged with the docs at Penn and have an appt May 1. I am looking forward to meeting with folks who know what they're talking about. I have perused this site, and have found it very helpful to me. Many of the experiences shared match my own. I look forward to learning more as I go along.

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Hello @cbenson524 Nice to e-meet you here although I am sorry to read of your health challenges. They are never easy and the journey rarely smooth or what we anticipate it might be! Connect is a lovely and caring community, which has broad shoulders and sympathetic listening skills! I hope you continue to find some help here and that your upcoming visits to your new doctor(s) at Penn will be of solid assistance!

I wish you continued strength, courage, and peace!

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@IndianaScott

Hello @cbenson524 Nice to e-meet you here although I am sorry to read of your health challenges. They are never easy and the journey rarely smooth or what we anticipate it might be! Connect is a lovely and caring community, which has broad shoulders and sympathetic listening skills! I hope you continue to find some help here and that your upcoming visits to your new doctor(s) at Penn will be of solid assistance!

I wish you continued strength, courage, and peace!

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Thank you, Sir. I have enjoyed nearly 65 years of almost perfect health, so this aging thing is sort of naively unexpected for me. I have read much about CAA over the past 6 weeks, and there have been some allusions to the possibility that CAA may in some way be related to autoimmune diseases. Both my parents had severe, severe rheumatoid arthritis, the complications of which killed them both. Rheumatoid arthritis is an autoimmune disease, so there may be some kind of correlation. Or not. Who knows? Anyway, thank you for your kind welcome.

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Hello again, @cbenson524 I am Scott and I, too, had normal health until shortly after my 66th birthday when I suffered a stroke, which lodged in my right eye. Still adjusting to the total loss of sight, but I am coming along with it. As they say "getting old ain't for wimps!" 🙂

My wife, on the other hand, fought an incredible war against brain cancer for 14 years, for which I was her primary caregiver. I know from our shared experiences with her health often the 'not knowing' phase of things can be a whole different kind of challenging! The one good thing is it seems, to me at least, the pace of medical discoveries and understanding is continuing so that is a goof thing for us all!
Strength, courage, and peace!

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I have been diagnosed, at Mayo, Rochester as having CAA. I was told that I have a ten percent chance of having a bleeding stroke each year. Not cumulative. I must try and keep my blood pressure as low as possible and never take any sort of blood thinner, including baby aspirin. As you may know CAA is an incurable disease causing blood vessels in the brain to become weakened because of protein (amiloid) in them.

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@thomaslmason

I have been diagnosed, at Mayo, Rochester as having CAA. I was told that I have a ten percent chance of having a bleeding stroke each year. Not cumulative. I must try and keep my blood pressure as low as possible and never take any sort of blood thinner, including baby aspirin. As you may know CAA is an incurable disease causing blood vessels in the brain to become weakened because of protein (amiloid) in them.

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Hi Just to put your mind at ease My wife had 2 major bleeds last spring about a month apart but has been fine for almost a year.Has returned to almost normal!!
Blessings
Biff

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Welcome to Connect, @thomaslmason. Glad you found the group here. @sistertwo is also seeing a specialist for CAA at Mayo

@nonipoppy, I'm wondering if you were able to send your husband's medical records for review. How is he doing? How are you?

@cbenson524, I believe you had an important medical appointment recently. Did you get further clarification about the brain or the heart being involved?

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@thomaslmason

I have been diagnosed, at Mayo, Rochester as having CAA. I was told that I have a ten percent chance of having a bleeding stroke each year. Not cumulative. I must try and keep my blood pressure as low as possible and never take any sort of blood thinner, including baby aspirin. As you may know CAA is an incurable disease causing blood vessels in the brain to become weakened because of protein (amiloid) in them.

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Awesome!

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