Iatrogenic cerebral amyloid angiopathy 30 years after childhood cadaveric dura mater transplantation: a case report

These findings suggest that abnormal Aβ may have gradually propagated over decades from the transplanted cadaveric dura mater, resulting in CAA. Including this case, thirteen LYODURA-associated cases have been reported, with disease onset occurring more than 30 years after head surgery and dural transplantation. Until 1997, a large volume of LYODURA was imported into Japan, raising the possibility of additional future cases of CAA. This case highlights the importance of considering iatrogenic CAA in younger patients and demonstrates the potential value of non-invasive detection through amyloid PET.

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Publication Details

Journal
BMC Neurology
Published
2025-11-26
DOI
https://doi.org/10.1186/s12883-025-04506-9
Primary Topic
Intracerebral and Subarachnoid Hemorrhage Research
Type
article
Field-Weighted Citation Impact
0.00

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article

Iatrogenic cerebral amyloid angiopathy 30 years after childhood cadaveric dura mater transplantation: a case report

Nobutaka Hattori, R. Nakamura, Takeshi Ikeuchi, Go Matsuoka et al.
BMC Neurology
Intracerebral and Subarachnoid Hemorrhage Research
article

Iatrogenic cerebral amyloid angiopathy 30 years after childhood cadaveric dura mater transplantation: a case report

Nobutaka Hattori, R. Nakamura, Takeshi Ikeuchi, Go Matsuoka, Takao Urabe, Masataka Kato, Ichiro Takai, Kazuo Yamashiro, Takashi Ogawa, Masao Watanabe, Yutaka Oji, Daisuke Taniguchi, Y. Imanishi, Ai Yayama
article en

Abstract

These findings suggest that abnormal Aβ may have gradually propagated over decades from the transplanted cadaveric dura mater, resulting in CAA. Including this case, thirteen LYODURA-associated cases have been reported, with disease onset occurring more than 30 years after head surgery and dural transplantation. Until 1997, a large volume of LYODURA was imported into Japan, raising the possibility of additional future cases of CAA. This case highlights the importance of considering iatrogenic CAA in younger patients and demonstrates the potential value of non-invasive detection through amyloid PET.

BMC NeurologyVol. 25(1)
Juntendo University (JP), Juntendo University Urayasu Hospital (JP), Edogawa Hospital (JP), Niigata University (JP)
Japan Agency for Medical Research and Development
Openalex Percentile: Top 49%
Intracerebral and Subarachnoid Hemorrhage Research
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Iatrogenic cerebral amyloid angiopathy 30 years after childhood cadaveric dura mater transplantation: a case report — Nobutaka Hattori, R. Nakamura, et al. · BMC Neurology (2025) | TGRS Research Map | TGRS