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Angiopatía amiloide cerebral - Treatment

Nombres alternativos

Amiloidosis cerebral; CAA

Tratamiento:

No existe tratamiento efectivo conocido. El objetivo del tratamiento es aliviar los síntomas. En algunos casos, se requiere rehabilitación para la debilidad o la torpeza, lo cual puede abarcar fisioterapia, terapia ocupacional o terapia del lenguaje.

Ocasionalmente, algunos pacientes se pueden beneficiar de medicamentos que les ayuden a mejorar la memoria, como los que se utilizan para tratar la enfermedad de Alzheimer.

Las convulsiones, algunas veces llamadas "crisis amiloides", se pueden tratar con anticonvulsivos como fenitoína (Dilantin) y carbamazepina (Tegretol).

Expectativas (pronóstico):

El trastorno empeora lentamente, pero varía de una persona a otra.

Complicaciones:

  • Demencia
  • Hidrocefalia (poco común)
  • Crisis epilépticas
  • Episodios repetitivos de sangrado en el cerebro

Situaciones que requieren asistencia médica:

Acuda a la sala de urgencias o llame al número local de emergencias (como el 911 en los Estados Unidos) si presenta una súbita pérdida del movimiento, la sensibilidad, la visión o el habla.

  • Reviewed last on: 8/27/2010
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; Daniel B. Hoch, PhD, MD, Assistant Professor of Neurology, Harvard Medical School, Department of Neurology, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Kinnecom C, Lev MH, Wendell L, et al. Course of cerebral amyloid angiopathy-related inflammation. Neurology. 2007;68:1411-1416.

Zivin JA. Hemorrhagic cerebrovascular disease. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 432.

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