Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=30027023
&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests
in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215
Hemiplegic Migraine as the Initial Presentation of Biopsy Positive Cerebral
Autosomal Dominant Arteriopathy With Subcortical Infarcts and
Leukoencephalopathy
#MMPMID30027023
Rossi G
; Shambhu S
Cureus
2018[May]; 10
(5
): e2631
PMID30027023
show ga
The diagnosis of cerebral autosomal dominant arteriopathy with subcortical
infarcts and leukoencephalopathy (CADASIL) in adults can be challenging.
Initially, this disease can mimic embolic cerebral infarction, multiple
sclerosis, and other neurological diseases on imaging studies. CADASIL is the
most common hereditary cerebral angiopathy which is inherited in an autosomal
dominant fashion. There is a wide variety of clinical presentations including a
migraine headache, mood disturbances, cognitive dysfunction, and recurrent
subcortical cerebral infarctions. This case details the hospital course and
diagnosis of a 41-year-old male who initially presented with symptoms consistent
with his previous diagnosis of a hemiplegic migraine who was later found to have
biopsy-positive CADASIL after the symptoms failed to remit.