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September 1990

Dementia in Hereditary Cerebral Hemorrhage With Amyloidosis-Dutch Type

Author Affiliations

From the Departments of Neurology (Drs Haan and Roos and Ms van der Does) and Neuropsychology (Dr Lanser and Ms Zijderveld), University Hospital, Leiden, the Netherlands.

Arch Neurol. 1990;47(9):965-967. doi:10.1001/archneur.1990.00530090035010

• Sixteen patients with hereditary cerebral hemorrhage with amyloidosis-Dutch type were examined neuropsychologically. Abnormalities were found in all patients, and dementia was present in 12 of them. Three patients were tested twice at an interval of some years. All three exhibited a progressive intellectual deterioration and memory disturbance; in two of them there was no evidence of intercurrent strokes. Cerebral amyloid angiopathy can lead to dementia because it produces multiple focal cerebral lesions, but a chronic ischemic or metabolic effect on brain parenchyma may play a contributing role.

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