Impaired dynamic cerebral autoregulation in patients with cerebral amyloid angiopathy.

Abstract:

:Cerebral amyloid angiopathy (CAA) might disturb the sensitive mechanism of cerebral pressure autoregulation. This study examines whether dynamic cerebral autoregulation (CA) is impaired in the posterior or anterior circulation of CAA patients. Fifteen patients with known CAA on magnetic resonance imaging (MRI) and 14 age-matched controls were examined with transcranial Doppler. Dynamic CA was assessed in the middle (MCA) and posterior cerebral artery (PCA) via transfer function phase and gain during respiratory-induced 0.1 Hz oscillations of arterial pressure. Within the patient group, 4 patients showed additional microbleeds in the basal ganglia on the MRI performed within the study (pure CAA vs mixed microbleeds). PCA phase was significantly lower in patients compared with controls (p = 0.018), particularly in patients with pure CAA (p = 0.0034). MCA values showed a similar but non-significant trend towards lower phase in patients with pure CAA. Poorer phase was associated with a higher number of microbleeds on MRI (MCA r = -0.57, p = 0.027; PCA r = -0.52, p = 0.098) and superficial cortical siderosis (PCA: p = 0.0025). In conclusion, dynamic cerebral autoregulation is impaired in patients with CAA. The degree of impairment is associated with the extent of cerebral microbleeds.

journal_name

Brain Res

journal_title

Brain research

authors

Reinhard M,Lorenz L,Sommerlade L,Allignol A,Urbach H,Weiller C,Egger K

doi

10.1016/j.brainres.2019.04.014

subject

Has Abstract

pub_date

2019-08-15 00:00:00

pages

60-65

eissn

0006-8993

issn

1872-6240

pii

S0006-8993(19)30207-0

journal_volume

1717

pub_type

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