Evidence map›Paper›PMID 40903767›Full record

ArticleNeurological research and practice2025

Iatrogenic cerebral amyloid angiopathy: two new cases and systematic review of case reports with neuropathological data.

Ana Sofia Costa, João Pinho, Arno Reich, Omid Nikoubashman, Kay Nolte, Joachim Weis, Christian Boy, Felix M Mottaghy, Jörg B Schulz, Kathrin Reetz

Abstract read
In one paragraph

Article in Neurological research and practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

10 authors.

Ana Sofia Costa *Department of Neurology, University Hospital RWTH Aachen, Pauwelsstr. 30, 52074, Aachen, Germany.
João Pinho *Department of Neurology, University Hospital RWTH Aachen, Pauwelsstr. 30, 52074, Aachen, Germany. jferreiradep@ukaachen.de.ORCID http://orcid.org/0000-0002-3977-7146
Arno ReichDepartment of Neurology, University Hospital RWTH Aachen, Pauwelsstr. 30, 52074, Aachen, Germany.
Omid NikoubashmanDepartment of Diagnostic and Interventional Neuroradiology, University Hospital RWTH Aachen, Aachen, Germany.
Kay NolteInstitute of Neuropathology, University Hospital RWTH Aachen, Aachen, Germany.
Joachim WeisInstitute of Neuropathology, University Hospital RWTH Aachen, Aachen, Germany.
Christian BoyDepartment of Nuclear Medicine, University Hospital RWTH Aachen, Aachen, Germany.
Felix M MottaghyDepartment of Nuclear Medicine, University Hospital RWTH Aachen, Aachen, Germany.
Jörg B SchulzDepartment of Neurology, University Hospital RWTH Aachen, Pauwelsstr. 30, 52074, Aachen, Germany.
Kathrin ReetzDepartment of Neurology, University Hospital RWTH Aachen, Pauwelsstr. 30, 52074, Aachen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Awareness concerning iatrogenic cerebral amyloid angiopathy (iCAA) is increasing but its pathophysiology remains unclear. We discuss the implications of the clinical, imaging and neuropathological findings in two previously unpublished cases of probable iCAA: a 55-year-old female presenting with rapidly progressive cognitive impairment, showing imaging and histological evidence of CAA and having undergone neurosurgical treatment at the age of 6; and a 56-year-old male with a four-year history of recurring intracerebral hemorrhages (ICH) and neurosurgical intervention at the age of 5. In the first case, a brain biopsy was performed.Additionally, a systematic review of iCAA cases with neuropathological data suggests that most of the patients have concomitant amyloid parenchymal deposition and none or minimal tau pathology. The pathophysiological role of tau pathology in iCAA remains unclear. iCAA patients presenting with cognitive impairment without symptomatic ICH may be underdiagnosed.

Indexed as

Cerebral amyloid angiopathyDementiaIntracerebral hemorrhageNeuropathology

Identifiers

PMID40903767
PMCPMC12409930

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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.