Cerebral Amyloid Angiopathy presenting as Cognitive Decline

Cerebral amyloid angiopathy (CAA) is a disorder seen as age advances, characterized by the accumulation of within leptomeninges and cerebral blood vessels. Lobar hemorrhages are most common clinical manifestation seen. Cognitive decline due to repeated microhemorrhages in one rare presentations mainly elderly. We present here case seventy year old female patient who presented with history progressive cognitive impairment. She was detected have CAA on imaging both cortical microbleeds extensive superficial siderosis. started cholinesterase inhibitors antipsychotics for her symptoms. Antiplatelet agents were avoided increased risk hemorrhage. This report highlights importance cause elderly patients also its therapeutic implications