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Updated: Aug 5, 2026

Correlative Light and Electron Microscopy to Study Microglial Interactions with β-Amyloid Plaques
Published on: June 1, 2016
Amyloidoma of the CNS. I. Clinical and pathologic study
M Cohen1, D Lanska, U Roessmann
1Division of Neuropathology, Case Western Reserve University, Cleveland, OH 44106.
Abstract:
We report a 32-year-old man with a 4-year history of headaches, seizures, and dementia secondary to multifocal amyloidomas in the white matter. Immunohistochemical and electron microscopic analyses suggest that the amyloidomas resulted from processing of plasma-cell-derived amyloidogenic protein by microglial cells.
Insights
A rare case of multifocal amyloidomas caused headaches, seizures, and dementia in a 32-year-old man. Microglial cells processed plasma-cell-derived amyloidogenic protein, leading to these brain lesions.
Area of Science:
- Neurology
- Neuropathology
- Immunohistochemistry
Background:
- Amyloidomas are rare intracranial masses composed of amyloid.
- Their pathogenesis is not fully understood, particularly in multifocal white matter presentations.
Observation:
- A 32-year-old male presented with a 4-year history of progressive headaches, seizures, and cognitive decline.
- Brain imaging revealed multifocal lesions within the white matter.
Findings:
- Histopathological examination identified amyloidomas as the cause of the neurological symptoms.
- Immunohistochemical and electron microscopic analyses indicated that microglial cells were involved in processing plasma-cell-derived amyloidogenic proteins.
Implications:
- This case highlights a novel mechanism for amyloidoma formation involving microglial-mediated processing of amyloidogenic proteins.
- Understanding this pathway may offer new therapeutic targets for amyloid-related neurological disorders.
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