Recurrent periventricular hemorrhage in cerebral proliferative angiopathy: Case report.
Hidetsugu MaekawaAiko TeradaTomoya IshiguroMasaki KomiyamaStephanie LenckLeornardo RenieriTimo KringsPublished in: Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences (2018)
Cerebral proliferative angiopathy (CPA) is a rare vascular lesion. Bleeding from CPA is uncommon, but the risk of rebleeding is high once it bleeds. We describe a case of CPA with multiple intra- and periventricular hemorrhages during 30-year follow-up. Recurrent bleeding in these areas are common in moyamoya disease. These lesions may share the cause of bleeding: proliferation of the periventricular vessels functioning as collateral pathways. Revascularization surgery for CPA may attenuate the vascular proliferation in the vicinity of the ventricle, which may prevent rebleeding.
Keyphrases
- coronary artery bypass
- percutaneous coronary intervention
- atrial fibrillation
- case report
- subarachnoid hemorrhage
- signaling pathway
- coronary artery bypass grafting
- pulmonary hypertension
- pulmonary artery
- heart failure
- middle cerebral artery
- minimally invasive
- coronary artery
- cerebral blood flow
- surgical site infection