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How does the presence of 1-3 microbleeds on MRI influence your choice of anti-amyloid therapies for patients with MCI or mild AD?

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Which anti-amyloid therapy would you recommend?

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2 Answers
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Neurology · Vanderbilt University Medical Center
Answered on

1-3 microbleeds is a small number, and the question does not specify that to be suspicious for amyloid angiopathy, the microbleeds should be cortical/subcortical, not deep (as seen in hypertensive individuals). This number, assuming that there are no signs of a larger hemorrhage nor superficial side...

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Mednet Member
Mednet MemberInvited Expert
Neurology · Yale University School of Medicine
Answered on

It depends on timing and location. 1-3 microbleeds before initiation of therapy is contraindicated for starting therapy. However, 1 to 3 microbleeds after initiation of therapy should be looked at carefully. Locations of microbleeds in the cortical areas, close to the surface is a likely indication ...

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