An Unusual Case of Elderly-Onset Cerebral Autosomal Dominant Arteriopathy With Subcortical Infarcts and Leukoencephalopathy (CADASIL) With Multiple Cerebrovascular Risk Factors
| Autor: | Mitsunori Watanabe, Ayumi Takamura, Mikio Shoji, Mandy Jackson, Yasuhito Wakasaya, Yoshiki Adachi, Takeshi Kawarabayashi, Etsuro Matsubara, Yukiko Yamamoto-Watanabe, Ikumi Shirahama |
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| Rok vydání: | 2012 |
| Předmět: |
Pathology
medicine.medical_specialty DNA Mutational Analysis CADASIL Disease Leukoencephalopathy Risk Factors Diabetes mellitus medicine Humans Receptor Notch3 Gait Disorders Neurologic Cerebrovascular risk Aged Memory Disorders Receptors Notch medicine.diagnostic_test Gait Disturbance business.industry Rehabilitation Brain Magnetic resonance imaging Exons medicine.disease Magnetic Resonance Imaging Penetrance Mutation Female Surgery Neurology (clinical) Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of Stroke and Cerebrovascular Diseases. 21:143-145 |
| ISSN: | 1052-3057 |
| DOI: | 10.1016/j.jstrokecerebrovasdis.2010.05.008 |
| Popis: | Here we report a female patient with elderly-onset cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL). At age 71, she developed gait disturbance, followed by memory disturbance 1 year later. She had been treated for hypertension and diabetes mellitus for 19 years. There apparently was low penetrance of disease. Magnetic resonance imaging (MRI) findings showed typical features of CADASIL, and the R607C mutation was detected in exon 11 in NOTCH3. This case strongly indicates that CADASIL should be considered when typical findings are observed on MRI even in cases of elderly onset with multiple cerebrovascular risk factors. |
| Databáze: | OpenAIRE |
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