严重肾功能衰竭表现为脑淀粉样血管病1例

Q4 Medicine Radiology Case Reports Pub Date : 2025-04-01 Epub Date: 2025-01-25 DOI:10.1016/j.radcr.2025.01.013
El Ouazzani Mouad , Bouchoual Mohammed , Boughmi Amine , Bounabe Rabia , Bigi Soufiane , Anibar Sara , Jabrane Marouane , Wakrim Soukaina , Arrayhani Mohamed
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引用次数: 0

摘要

散发性脑淀粉样蛋白血管病是老年人的常见病,其特征是淀粉样蛋白β肽在脑小动脉壁上积聚,导致颅内出血和认知障碍。我们提出的情况下,65岁的妇女入院突发颅内高压和严重肾功能衰竭需要透析。本病例在合并终末期肾脏疾病的患者中表现出罕见的脑淀粉样血管病,突出了系统和脑血管病理之间复杂的相互作用。神经系统和尿毒症症状重叠所带来的诊断挑战强调了在此类病例中进行多学科评估的重要性。
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Cerebral amyloid angiopathy revealed by severe renal failure: A case report
Sporadic cerebral amyloid angiopathy is a common condition in the elderly, characterised by the accumulation of amyloid Aβ peptide in the walls of small cerebral arteries, leading to intracranial haemorrhage and cognitive impairment. We present the case of a 65-year-old woman admitted for sudden intracranial hypertension and severe renal failure requiring dialysis.
This case illustrates an uncommon presentation of cerebral amyloid angiopathy in a patient with concurrent end-stage renal disease, highlighting the complex interplay between systemic and cerebrovascular pathology. The diagnostic challenge posed by overlapping neurological and uraemic symptoms underscores the importance of multidisciplinary evaluation in such cases.
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来源期刊
Radiology Case Reports
Radiology Case Reports Medicine-Radiology, Nuclear Medicine and Imaging
CiteScore
1.10
自引率
0.00%
发文量
1074
审稿时长
30 days
期刊介绍: The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.
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