Human Physiology

, Volume 44, Issue 8, pp 860–863 | Cite as

Atypical Clinical Cases of Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy (CADASIL)

  • A. A. MorozEmail author
  • N. Yu. Abramycheva
  • E. O. Ivanova
  • R. N. Konovalov
  • S. L. Timerbaeva
  • S. N. Illarioshkin


Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) is a hereditary CNS disease with autosomal dominant inheritance caused by NOTCH3 gene mutations. Typically, CADASIL manifests with headaches, recurrent strokes, and progressive cognitive decline. Neuroimaging plays an important diagnostic role as it reveals multiple lacunar infarcts in the basal ganglia, brainstem, and cerebellum, as well as focal white matter lesions and diffuse leukoaraiosis-type changes. CADASIL can sometimes have other symptoms and mimic different phenotypes atypical of the disease. We hereby present two genetically confirmed CADASIL cases that manifested with predominantly cerebellar or essential tremor combined with cognitive and affective disturbances. The main principles of diagnosis of this disease characterized by clinical polymorphism are discussed.


CADASIL the NOTCH3 gene clinical manifestations atypical phenotypes neuroimaging diagnosis 


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Copyright information

© Pleiades Publishing, Inc. 2018

Authors and Affiliations

  • A. A. Moroz
    • 1
    Email author
  • N. Yu. Abramycheva
    • 1
  • E. O. Ivanova
    • 1
  • R. N. Konovalov
    • 1
  • S. L. Timerbaeva
    • 1
  • S. N. Illarioshkin
    • 1
  1. 1.Research Center of NeurologyMoscowRussia

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