論文

査読有り
2019年12月1日

Nationwide survey on cerebral amyloid angiopathy in Japan

European Journal of Neurology
  • K. Sakai
  • ,
  • M. Ueda
  • ,
  • W. Fukushima
  • ,
  • A. Tamaoka
  • ,
  • M. Shoji
  • ,
  • Y. Ando
  • ,
  • M. Yamada

26
12
開始ページ
1487
終了ページ
1493
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1111/ene.14031

© European Academy of Neurology 2019 Background and purpose: A nationwide survey was conducted to understand the epidemiology of cerebral amyloid angiopathy-related intracerebral hemorrhage (CAA-related ICH) and cerebral amyloid angiopathy-related inflammation/vasculitis (CAA-ri) in Japan. Methods: To estimate the total number and clinical features of patients with CAA-related ICH and CAA-ri between January 2012 and December 2014 and to analyze their clinical features, questionnaires were sent to randomly selected hospitals in Japan. Results: In the first survey, 2348 of 4657 departments responded to the questionnaire (response rate 50.4%). The total numbers of reported patients with CAA-related ICH and CAA-ri were 1338 and 61, respectively, and their total numbers in Japan were estimated to be 5900 [95% confidence interval (CI) 4800–7100] and 170 (95% CI 110–220), respectively. The crude prevalence rates were 4.64 and 0.13 per 100 000 population, respectively. The clinical information of 474 patients with CAA-related ICH obtained in the second survey was as follows: (i) the average age of onset was 78.4 years; (ii) the prevalence increased with age; (iii) the disease was common in women; and (iv) hematoma most frequently occurred in the frontal lobe. Sixteen patients with CAA-ri for whom data were collected in the second survey had the following characteristics: (i) median age of onset was 75 years; (ii) cognitive impairment and headache were the most frequent initial manifestations; and (iii) focal neurological signs, such as motor paresis and visual disturbance, were frequently observed during the clinical course. Conclusions: The numbers of patients with CAA-related ICH and CAA-ri in Japan were estimated.

リンク情報
DOI
https://doi.org/10.1111/ene.14031
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/31232495
Scopus
https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85069871058&origin=inward
Scopus Citedby
https://www.scopus.com/inward/citedby.uri?partnerID=HzOxMe3b&scp=85069871058&origin=inward
ID情報
  • DOI : 10.1111/ene.14031
  • ISSN : 1351-5101
  • eISSN : 1468-1331
  • PubMed ID : 31232495
  • SCOPUS ID : 85069871058

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