Impaired dynamic cerebral autoregulation in patients with cerebral amyloid angiopathy

Matthias Reinhard* (Corresponding Author), Leonie Lorenz, Linda Sommerlade, Arthur Allignol, Horst Urbach, Cornelius Weiller, Karl Egger

*Corresponding author for this work

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Cerebral amyloid angiopathy (CAA) might disturb the sensitive mechanism of cerebral pressure autoregulation. This study examines whether dynamic cerebral autoregulation (CA) is impaired in the posterior or anterior circulation of CAA patients. Fifteen patients with known CAA on magnetic resonance imaging (MRI) and 14 age-matched controls were examined with transcranial Doppler. Dynamic CA was assessed in the middle (MCA) and posterior cerebral artery (PCA) via transfer function phase and gain during respiratory-induced 0.1 Hz oscillations of arterial pressure. Within the patient group, 4 patients showed additional microbleeds in the basal ganglia on the MRI performed within the study (pure CAA vs mixed microbleeds). PCA phase was significantly lower in patients compared with controls (p = 0.018), particularly in patients with pure CAA (p = 0.0034). MCA values showed a similar but non-significant trend towards lower phase in patients with pure CAA. Poorer phase was associated with a higher number of microbleeds on MRI (MCA r = −0.57, p = 0.027; PCA r = −0.52, p = 0.098) and superficial cortical siderosis (PCA: p = 0.0025). In conclusion, dynamic cerebral autoregulation is impaired in patients with CAA. The degree of impairment is associated with the extent of cerebral microbleeds.

Original languageEnglish
Pages (from-to)60-65
Number of pages6
JournalBrain Research
Volume1717
Early online date15 Apr 2019
DOIs
Publication statusPublished - 15 Aug 2019

Keywords

  • Autoregulation
  • Cerebral amyloid angiopathy
  • Cerebral blood flow
  • Transcranial Doppler sonography

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    Reinhard, M., Lorenz, L., Sommerlade, L., Allignol, A., Urbach, H., Weiller, C., & Egger, K. (2019). Impaired dynamic cerebral autoregulation in patients with cerebral amyloid angiopathy. Brain Research, 1717, 60-65. https://doi.org/10.1016/j.brainres.2019.04.014