Cerebral amyloid angiopathy
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: The subjects are patients who were diagnosed as CAA according to Boston criteria. They should be classified into three groups, probable CAA with supporting pathology, probable CAA or possible CAA with amyloid deposition disclosed by PiB-PET imaging. And the patients who are diagnosed as Alzheimer's disease (AD) with CAA are also included. They should have cognitive impairment consistent with AD, multiple cerebral microbleeds in MRI-T2* weighted image and amyloid deposition in PiB-PET imaging. Informed consent about the objects, methods, expected results and hazard of this study must be obtained from the patients with CAA.
Exclusion criteria
Exclusion criteria: Patients who have met these exclusion criteria should be excluded. Age is younger than 41 years old or older than 86 years old when informed consent was obtained. Patients who have uncontrolled hypertension (systolic blood pressure>=160mmHg or diastolic blood pressure>=100mmHg), taken antithrombotic medication (antiplatelet or anticoagulant drug), abnormal glucose tolerance (HbA1c>=6.5%(NGSP)). Patients who may have difficulty in adherence to continuous and regular medication.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The subjects who had been diagnosed as CAA and agreed with administration of corticosteroid were randomly divided into two groups, 2.5mg and 10mg prednisolone. We will evaluate the time from baseline study to bleeding resulting from CAA within 18 months observational period. | — |
Secondary
| Measure | Time frame |
|---|---|
| Mini mental state examination, Microbleeds on brain MRI, CSF amyloid beta protein (1-40,1-42) and phosphorylated tau protein, modified Rankin Scale, National Institute of Health Stroke Scale, Functional Independence Measure | — |
Countries
Japan
Contacts
Aizawa Hospital Department of Neurology