Cerebral autosomal recessive arteriopathy with subcortical infarcts and leukoencephalopathy (CARASIL)

Autor: Rhea Yy Tan, Hugh S. Markus, Kathryn Urankar, Clare Bailey, Stefan Gräf, Anna M. Drazyk, Nicola Giffin
Rok vydání: 2021
Předmět:
Zdroj: Practical neurology. 21(5)
ISSN: 1474-7766
Popis: A 44-year-old Caucasian man presented with seizures and cognitive impairment. He had marked retinal drusen, and MR brain scan showed features of cerebral small vessel disease; he was diagnosed with a leukoencephalopathy of uncertain cause. He died at the age of 46 years and postmortem brain examination showed widespread small vessel changes described as a vasculopathy of unknown cause. Seven years postmortem, whole-genome sequencing identified a homozygous nonsense HTRA1 mutation (p.Arg302Ter), giving a retrospective diagnosis of cerebral autosomal recessive arteriopathy with subcortical infarcts and leukoencephalopathy.
Databáze: OpenAIRE