Prodromal Alzheimer's Disease Presenting as Cerebral Amyloid Angiopathy-Related Inflammation with Spontaneous Amyloid-Related Imaging Abnormalities and High Cerebrospinal Fluid Anti-Aβ Autoantibodies

Giorgio B. Boncoraglio, Fabrizio Piazza, Mario Savoiardo, Laura Farina, Jacopo C. Difrancesco, Sara Prioni, Fabrizio Tagliavini, Eugenio A. Parati, Giorgio Giaccone

Research output: Contribution to journalArticle

Abstract

Cerebral amyloid angiopathy-related inflammation (CAA-ri), a rare form of vasculitis associated with amyloid-β (Aβ) deposition in vessel walls, has been proposed as a spontaneous human model of the amyloid-related imaging abnormalities (ARIA) occurring after anti-Aβ immunotherapy for the treatment of Alzheimer's disease (AD). We describe a case of a patient with biopsy-proven CAA-ri and prodromal AD, confirmed by means of neuropsychological examination after 20 months follow-up, presenting with ARIA and high levels of cerebrospinal fluid anti-Aβ autoantibodies. This case further supports the analogies between the inflammatory response driven by anti-Aβ immunotherapy and that spontaneously occurring in CAA-ri.

Original languageEnglish
Pages (from-to)363-367
Number of pages5
JournalJournal of Alzheimer's Disease
Volume45
Issue number2
DOIs
Publication statusPublished - 2015

Fingerprint

Cerebral Amyloid Angiopathy
Amyloid
Autoantibodies
Cerebrospinal Fluid
Alzheimer Disease
Inflammation
Immunotherapy
Vasculitis
Biopsy
Therapeutics

Keywords

  • Alzheimer's disease
  • amyloid-related imaging abnormalities
  • anti-Aβ autoantibodies
  • cerebral amyloid angiopathy
  • cerebral amyloid angiopathy-related inflammation
  • subarachnoid hemorrhage

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Geriatrics and Gerontology
  • Clinical Psychology
  • Medicine(all)

Cite this

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abstract = "Cerebral amyloid angiopathy-related inflammation (CAA-ri), a rare form of vasculitis associated with amyloid-β (Aβ) deposition in vessel walls, has been proposed as a spontaneous human model of the amyloid-related imaging abnormalities (ARIA) occurring after anti-Aβ immunotherapy for the treatment of Alzheimer's disease (AD). We describe a case of a patient with biopsy-proven CAA-ri and prodromal AD, confirmed by means of neuropsychological examination after 20 months follow-up, presenting with ARIA and high levels of cerebrospinal fluid anti-Aβ autoantibodies. This case further supports the analogies between the inflammatory response driven by anti-Aβ immunotherapy and that spontaneously occurring in CAA-ri.",
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author = "Boncoraglio, {Giorgio B.} and Fabrizio Piazza and Mario Savoiardo and Laura Farina and Difrancesco, {Jacopo C.} and Sara Prioni and Fabrizio Tagliavini and Parati, {Eugenio A.} and Giorgio Giaccone",
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AU - Boncoraglio, Giorgio B.

AU - Piazza, Fabrizio

AU - Savoiardo, Mario

AU - Farina, Laura

AU - Difrancesco, Jacopo C.

AU - Prioni, Sara

AU - Tagliavini, Fabrizio

AU - Parati, Eugenio A.

AU - Giaccone, Giorgio

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N2 - Cerebral amyloid angiopathy-related inflammation (CAA-ri), a rare form of vasculitis associated with amyloid-β (Aβ) deposition in vessel walls, has been proposed as a spontaneous human model of the amyloid-related imaging abnormalities (ARIA) occurring after anti-Aβ immunotherapy for the treatment of Alzheimer's disease (AD). We describe a case of a patient with biopsy-proven CAA-ri and prodromal AD, confirmed by means of neuropsychological examination after 20 months follow-up, presenting with ARIA and high levels of cerebrospinal fluid anti-Aβ autoantibodies. This case further supports the analogies between the inflammatory response driven by anti-Aβ immunotherapy and that spontaneously occurring in CAA-ri.

AB - Cerebral amyloid angiopathy-related inflammation (CAA-ri), a rare form of vasculitis associated with amyloid-β (Aβ) deposition in vessel walls, has been proposed as a spontaneous human model of the amyloid-related imaging abnormalities (ARIA) occurring after anti-Aβ immunotherapy for the treatment of Alzheimer's disease (AD). We describe a case of a patient with biopsy-proven CAA-ri and prodromal AD, confirmed by means of neuropsychological examination after 20 months follow-up, presenting with ARIA and high levels of cerebrospinal fluid anti-Aβ autoantibodies. This case further supports the analogies between the inflammatory response driven by anti-Aβ immunotherapy and that spontaneously occurring in CAA-ri.

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