From:  Cerebral amyloid angiopathy: updates on pathophysiology, diagnosis, and management

 Differences between CAA and AD [3034].

FeaturesCAAAD
PathophysiologyAβ40 accumulation in small- to medium-sized blood vessels, dominantly in the cortex and leptomeningeal vesselsAβ42 plaques and tau accumulation in the brain parenchyma
Imaging (MRI) featuresMicrobleeds, cortical superficial siderosis, lobar hemorrhages, white matter hyperintensitiesHippocampal atrophy, white matter hyperintensities
Biomarkers (CSF, plasma)Lower Aβ40 levelsLower Aβ42 levels
Clinical presentationsLobar intracerebral hemorrhage, transient focal neurological episodes, cognitive impairmentCognitive decline, language difficulties, executive dysfunction

CAA: cerebral amyloid angiopathy; AD: Alzheimer’s disease; Aβ: amyloid β; MRI: magnetic resonance imaging; CSF: cerebrospinal fluid.