Chinese Journal of Contemporary Neurology and Neurosurgery ›› 2016, Vol. 16 ›› Issue (1): 3-7. doi: 10.3969/j.issn.1672-6731.2016.01.002

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Amyloid β-related central nervous system vasculitis

LI Zhuo, PIAO Yue-shan, LU De-hong   

  1. Department of Pathology, Xuanwu Hospital, Capital Medical University, Beijing 100053, China
  • Online:2016-01-15 Published:2016-01-25
  • Contact: LU De-hong (Email: ludehong05@sina.com.cn)

β-淀粉样蛋白相关性中枢神经系统血管炎

李卓, 朴月善, 卢德宏     

  1. 100053 北京,首都医科大学宣武医院病理科
  • 通讯作者: 卢德宏(Email:ludehong05@sina.com.cn)

Abstract:

Amyloid β (Aβ)-related central nervous system (CNS) vasculitis, which is also known as cerebral amyloid angiopathy (CAA)-related CNS vasculitis, is characterized by the presence of chronic inflammation within or around the walls of Aβ-deposit blood vessels. Cerebral biopsy is the gold standard for diagnosis of A β-related CNS vasculitis considering the atypical clinical features, cerebrospinal fluid (CSF) and neuroimaging findings of some patients. This paper reviewed the pathogenesis, neuropathology, clinical features, treatment and prognosis of Aβ-related CNS vasculitis

Key words: Amyloid beta-protein, Vasculitis, central nervous system, Pathology, Review

摘要:

淀粉样脑血管病相关性中枢神经系统血管炎亦称为β-淀粉样蛋白(Aβ)相关性中枢神经系统血管炎,主要表现为存在Aβ沉积的小血管壁或其周围慢性炎症性变。考虑部分患者临床表现、脑脊液和影像学表现不典型,明确诊断仍需依靠脑组织活检。本文拟就其发病机制、病理学特征、临床表现、治疗及预后等进展进行概述。

关键词: 淀粉样β蛋白, 血管炎, 中枢神经系统, 病理学, 综述