FOCAL POINTS (Courageous Discourse)

FOCAL POINTS (Courageous Discourse)

Cerebral Amyloid Angiopathy after SARS-CoV-2 Infection

Spike protein driven hemorrhages in leptomeninges visible on MRI

Peter A. McCullough, MD, MPH's avatar
Peter A. McCullough, MD, MPH
Mar 12, 2026
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By Peter A. McCullough, MD, MPH

A patient recently consulted me concerning the diagnosis of cerebral amyloid angiopathy given to him after an MRI was done at a prestigious university medical center. As expected he is genetically negative for inherited forms of amyloidosis. The patient was unvaccinated but did have severe, prolonged COVID-19 illness early in the pandemic. He is 67 years old and asymptomatic, which is unusual since ~70% of CAA patients have neurocognitive decline.

Zedde M, Piazza F, Pascarella R. Clinical and Neuroradiological Manifestations of Cerebral Amyloid Angiopathy: A Closer Look into the Natural History of a Frequent Disease. Journal of Clinical Medicine. 2025; 14(5):1697. https://doi.org/10.3390/jcm14051697

His anti-Spike antibodies were 6086 U/ml in October, 2025, declining to 5328 U/ml in February, 2026 on Spike Support from The Wellness Company. This has provided dissolution of the Spike protein without the additional anticoagulant effect of bromelain. Alter AI assisted in this medical review.

🧠 Cerebral Amyloid Angiopathy Following SARS-CoV-2 Infection

Cerebral amyloid angiopathy (CAA) represents a pathological state characterized by the deposition of β-amyloid (Aβ) peptides within the walls of small and medium-sized cerebral blood vessels, leading to vessel fragility, microhemorrhages, and inflammation. Traditionally viewed as a co-pathology of Alzheimer’s disease, CAA is increasingly recognized as an independent vascular neurodegenerative process. Recent research has revealed that SARS-CoV-2 infection—and particularly its Spike glycoprotein—can accelerate or precipitate amyloid deposition through inflammatory, endothelial, and molecular mimicry mechanisms. These findings suggest that the viral spike protein plays a key pathogenic role in the post-COVID cerebrovascular changes linked to amyloid pathology.

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