Evidence map›Paper›PMID 38511868›Full record

ArticleEuropean journal of neurology2024

Iatrogenic cerebral amyloid angiopathy in older adults.

Larysa Panteleienko, Dermot Mallon, Rupert Oliver, Ahmed Toosy, Yuki Hoshino, Aya Murakami, Kanishk Kaushik, Marieke J H Wermer, Hideo Hara, Yusuke Yakushiji and 2 more

Abstract readCase Reports
In one paragraph

Article in European journal of neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Article
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  9. Iatrogenic cerebral amyloid angiopathy in older adults.European journal of neurology · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Larysa PanteleienkoDepartment of Brain Repair and Rehabilitation, Stroke Research Centre, UCL Queen Square Institute of Neurology, London, UK.ORCID 0000-0002-7342-2488
Dermot MallonNational Hospital for Neurology and Neurosurgery, Queen Square, University College London Hospitals NHS Foundation Trust, London, UK.ORCID 0000-0001-7434-1201
Rupert OliverNational Hospital for Neurology and Neurosurgery, Queen Square, University College London Hospitals NHS Foundation Trust, London, UK.
Ahmed ToosyNational Hospital for Neurology and Neurosurgery, Queen Square, University College London Hospitals NHS Foundation Trust, London, UK.ORCID 0000-0002-4441-3750
Yuki HoshinoDivision of Neurology, Department of Internal Medicine, Saga University Faculty of Medicine, Saga, Japan.
Aya MurakamiDepartment of Neurology Kansai Medical University, Hirakata, Japan.
Kanishk KaushikDepartment of Neurology, Leiden University Medical Centre, Leiden, The Netherlands.ORCID 0000-0003-1429-6853
Marieke J H WermerDepartment of Neurology, Leiden University Medical Centre, Leiden, The Netherlands.ORCID 0000-0002-6838-9521
Hideo HaraDivision of Neurology, Department of Internal Medicine, Saga University Faculty of Medicine, Saga, Japan.
Yusuke YakushijiDepartment of Neurology Kansai Medical University, Hirakata, Japan.ORCID 0000-0003-3206-6939
Gargi BanerjeeNational Hospital for Neurology and Neurosurgery, Queen Square, University College London Hospitals NHS Foundation Trust, London, UK.ORCID 0000-0003-0190-7782
David J WerringDepartment of Brain Repair and Rehabilitation, Stroke Research Centre, UCL Queen Square Institute of Neurology, London, UK.ORCID 0000-0003-2074-1861

Funding

Alzheimer's Research UK ARUK-CRF2020A-003Dutch Heart Foundation 2016T86JSPS (Japanese Society for the Promotion of Science) KAKENHI 21K10510Medical Research Council (MRC) MR/S026088/1NIHR BRC 541/CAP/OC/818837RoseTrees Trust A1332RoseTrees Trust PGL21/10079
6 · The paper itself

Abstract

background and purposeAn increasing number of cases of iatrogenic cerebral amyloid angiopathy (CAA) have now been reported worldwide. Proposed diagnostic criteria require a history of medical intervention with potential for amyloid-β transmission, for example those using cadaveric dura mater or requiring instrumentation of the brain or spinal cord. Clinical presentation occurs after an appropriate latency (usually three or four decades); to date, most patients with iatrogenic CAA have had 'early-onset' disease (compared to sporadic, age-related, CAA), as a consequence of childhood procedures.

resultsWe describe five cases of possible iatrogenic CAA in adults presenting in later life (aged 65 years and older); all had prior neurosurgical interventions and presented after a latency suggestive of iatrogenic disease (range 30-39 years). Use of cadaveric dura mater was confirmed in one case, and highly likely in the remainder.

conclusionThe presentation of iatrogenic CAA in older adults widens the known potential spectrum of this disease and highlights the difficulties of making the diagnosis in this age group, and particularly in differentiating iatrogenic from sporadic CAA. Increased vigilance for cases presenting at an older age is essential for furthering our understanding of the clinical phenotype and broader implications of iatrogenic CAA.

Indexed as

Cerebral Amyloid AngiopathyIatrogenic DiseaseAgedAged, 80 and overFemaleHumansMaleamyloid‐βcadaveric dura materiatrogenic cerebral amyloid angiopathyneurosurgeryprion

Identifiers

PMID38511868
PMCPMC11235778

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.