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ANTONINO TUTTOLOMONDO

β-amyloid wall deposit of temporal artery in subjects with spontaneous intracerebral haemorrhage.

  • Autori: Tuttolomondo, A.; Maugeri, R.; Orlando, E.; Giannone, G.; Ciccia, F.; Rizzo, A.; Di Raimondo, D.; Graziano, F.; Pecoraro, R.; Maida, C.; Simonetta, I.; Cirrincione, A.; Portelli, F.; Corpora, F.; Iacopino, D.; Pinto, A.
  • Anno di pubblicazione: 2018
  • Tipologia: Abstract in rivista (Abstract in rivista)
  • OA Link: http://hdl.handle.net/10447/355106

Abstract

Background: Cerebral Amyloid Angiopathy has been indicated as an important cause of spontaneous non-hypertensive intracerebral haemorrhage (ICH). Aims: to analyze the presence of β-amyloid deposit in the temporal artery of consecutive patients with ICH in comparison to control subjects and its relation to APO-E haplotype frequency. Methods: We enrolled consecutive patients admitted to Neurosurgery Ward of University Hospital "P. Giaccone" of Palermo with a diagnosis of spontaneous non hypertensive ICH and as control 12 subjects without brain haemorrhage. Biopsy of superficial temporal artery has been performed and β-amyloid deposit was quantified. Results: Among 25 subjects with ICH, 10 (40%) had APOE epsilon 2 allele and among these subjects 7 (70%) showed amyloid accumulation on temporal artery specimens, 8 (32%) subjects had APOE epsilon 3 allele and among these subjects only 2 (25%) showed amyloid accumulation on temporal artery specimens, whereas 7 (28%) had APOE epsilon 4 allele and of these, 7 (100%) showed amyloid accumulation on temporal artery specimens. At multivariable logistic regression analysis for the presence of amyloid, predictive factors for the presence of amyloid in temporal artery biopsies were: age, hypertension, intralobar site of haemorrhage, APOE epsilon 2 and APOE epsilon 4 alleles. Discussion: Our findings of a higher frequency of amyloid deposition in temporal artery specimens in subjects with spontaneous intracerebral haemorrhage indicate a possible role of temporal artery as a possible diagnostic site of biopsy in subjects at high risk to develop intracranial haemorrhage related to Cerebral Amyloid Angiopathy