Rare vascular brain lesions: a case report of cerebral proliferative angiopathy management

Cerebral proliferative angiopathy (CPA) is a rare vascular disorder characterized by the arteriovenous malformation (AVM) within the brain. These abnormal vessels can lead to a variety of neurological symptoms, including seizures, stroke, and motor deficits. Due to the risk of permanent neurological damage associated with invasive treatments, conservative management strategies are often employed.

In this case, a 75-year-old woman presented with right-sided focal seizures, altered mental status, and hemiplegia. Imaging studies revealed CPA, showing diffuse vascular proliferation without the presence of a dominant feeding artery. The patient received conservative treatment, including antiplatelet therapy and lifestyle modifications, to manage her symptoms and prevent further complications.

This case emphasizes the importance of conservative management in geriatric patients with CPA, as using invasive approaches carries a high risk. The accurate diagnosis of such cases is also important for not to provide inappropriate interventions.

The conservative management is an option for the CPA patients who cannot undergo surgery. There is a requirement for further studies to establish the guidelines for the management of this disorder.