多発性脳梗塞と多発性脳内出血を合併したCerebral amyloid angiopathyの1例

Cerebral Amyloid Angiopathy Complicated with Multiple Cerebral Infarcts and Intracerebral Hemorrhages: Case report

I．はじめに

　cerebral amyloid angiopathy　（以下CAA）はAlzheim—er病あるいは老人痴呆との関連で以前から関心がもたれていたが，最近では老人の脳内出血や脳梗塞の原因としても注目されている．著者らは多発性脳梗塞で発症し，1年後に多発性脳内出血をきたした症例を経験したので報告する．

Recently, cerebral amyloid angiopathy is stressed as an unusual and infrequent cause of cerebral infarct or intracerebral hemorrhage. This report described a case of cerebral amyloid angiopathy complicated by multiple cerebral infarcts and multiple intracerebral hemorrhages.

This 70-year-old man was admitted to our hospital on November 10, 1984 for evaluation of the gradual onset of dysarthria. Examination showed only slight dysarthria. There was no history of hypertension or dementia.