Skip to main content
. 2016 Jun 8;11(6):e0156992. doi: 10.1371/journal.pone.0156992

Table 2. Classification of ICH attributed to CAA (modified Boston criteria).

CAA score Postmortem examinationa Pathologic tissue (evacuated hematoma or cortical biopsy) Lobar, cortical, or subcortical hemorrhage Age ≥ 55y Other diagnostic lesion (A1, A2a) Other cause of hemorrhage or siderosis (A2b, A3)b
A1 + +/- + + -
A2A with supporting pathology - + + + -
A2B - - +c or d + -
A3 - - +e or f + -

A1: CAA definite

A2A: CAA probable with supporting pathology

A2B: CAA probable

A3: CAA possible

a. Full postmortem examination demonstrating: 1) Lobar, cortical, or corticosubcortical hemorrhage; 2) Severe CAA with vasculopathy; and 3) Absence of other diagnostic lesion

b. Other causes of intracerebral hemorrhage: excessive warfarin (INR>3); antecedent head trauma or ischemic stroke; CNS tumour, vascular malformation, or vasculitis; and blood dyscrasia or coagulopathy. (INR>3 or other nonspecific laboratory abnormalities permitted for diagnosis of possible CAA.) [8]

c. Multiple hemorrhages restricted to lobar, cortical, or corticosubcortical regions (cerebellar hemorrhage allowed)

d. Single lobar, cortical, or corticosubcortical hemorrhage and focal (restricted to 3 or fewer sulci) or disseminated (affecting at least 4 sulci) superficial siderosis

e. Single lobar, cortical, or corticosubcortical hemorrhage

f. Focal (restricted to 3 or fewer sulci) or disseminated (affecting at least 4 sulci) superficial siderosis [9].