Diagnostic criteria for Cerebral Amyloid Angiopathy (CAA)

What are the diagnostic criteria for Cerebral Amyloid Angiopathy (CAA)? 

Definite Cerebral Amyloid Angiopathy:

  • Full postmortem examination demonstrating:
    • • Lobar, cortical, or corticosubcortical hemorrhage
    • • Severe CAA with vasculopathy
    • • Absence of other diagnostic lesion

Probable CAA with supporting pathology:

  • Clinical data and pathologic tissue (evacuated hematoma or cortical biopsy) demonstrating:
    • • Lobar, cortical, or corticosubcortical hemorrhage
    • • Some degree of CAA in specimen
    • • Absence of other diagnostic lesion

Probable CAA:

  • Clinical data and MRI or CT demonstrating:
    • • Multiple hemorrhages restricted to lobar, cortical, or corticosubcortical regions (cerebellar hemorrhage allowed)
    • • Age >55 years
    • • Absence of other cause of hemorrhage

Possible CAA—clinical data and MRI or CT demonstrating:

  • Single lobar, cortical, or corticosubcortical hemorrhage
  • Age >55 years
  • Absence of other cause of hemorrhage
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