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Living with Hereditary cerebral hemorrhage with amyloidosis

An inherited condition in which protein builds up in brain blood vessels, causing strokes and memory and thinking changes.

Understanding Hereditary cerebral hemorrhage with amyloidosis

Hereditary cerebral amyloid angiopathy is an inherited condition in which amyloid protein builds up in the blood vessels of the brain.

People often have strokes, loss of thinking skills (dementia), and other nervous system problems starting in mid-adulthood. There are many types, named for the region where they were first found, and each has a different genetic cause. The Dutch type is the most common. Stroke is often the first sign, and some people have repeated seizures.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Bleeding in the brain
  • Stroke
  • Headache
  • Seizures
  • Loss of thinking skills (dementia)
  • Worsening nervous system symptoms

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include autoimmune and inflammatory disease specialists, brain and nervous system specialists and genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Amyloidosis Support Groups Inc. and Amyloidosis Foundation may keep lists of experts for this condition.

Care & treatment

Care team
autoimmune and inflammatory disease specialists (rheumatologists); Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Expert lists: Amyloidosis Support Groups Inc., Amyloidosis Foundation
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Amyloidosis Support Groups Inc. and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which type do I have, and which gene is involved?
Should my relatives have genetic counseling?
Which specialists should monitor my brain health?

Quick facts

Symptoms usually startAdult
InheritanceAutosomal Dominant

GARD says changes in genes (also called variants) cause this condition, and the type depends on the gene. It is autosomal dominant, so one changed copy of the gene is enough.

GeneticNeurological

Also known as: cerebral amyloid angiopathy; cerebral amyloid angiopathy, hereditary; dutch hereditary cerebral amyloid angiopathy; hchwa; hchwa - hereditary cerebral hemorrhage with amyloidosis; hereditary cerebral haemorrhage with amyloidosis - dutch type

Patient organizations

Source: NIH GARD · Hereditary cerebral hemorrhage with amyloidosisGARD ID 10266 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

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