Cerebral proliferative angiopathy with hemorrhage and infarction as complications after conservative treatment: A case report

Abstract

Introduction: Cerebral proliferative angiopathies (CPAs) are rare forms of cerebral vascular malformations depicted with multiple, austerely enlarged arterial feeders supplying a lobar or hemispheric angiomatosis. We present a unique case of CPA in whom dysarthria and nonspecific headaches were the only symptomology. Also, the detection of CPA in a 62-years-old female is very rare and seldomly reported in literature. Case presentation: A 62-years-old female was admitted at your facility due to 3 days history of dysarthria and long-standing nonspecific headaches with no seizures. Magnetic resonance imaging, Computer tomography angiogram, Single-photon emission computed tomography as well as digital subtracting angiography established CPA. She was managed conservatively and discharged home with no neurological deficits. Nine months after discharge, she was admitted again due to recurrence of her symptomatology and hemiplegia of the right limbs. Computer tomography revealed left temporal occipital infarction as well as ventricular hemorrhage. She was managed conservatively again and discharged home with no neurological deficits. Conclusion: Patients who are managed conservatively should be followed clinically and radiologically for a prolong period of time to detect complications early.

Keywords

• Angiopathy
• Dysarthria
• Headaches
• Malformation
• Proliferative
• SPECT