af ayood helo 17 år siden
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late onset metabolics
Neuro raheumatolgic
CADASIL
CADASIL: WM lesion are lacunes that can mimic MS on MRI; lesions affects tips of anterior
temporals symmetrically. characteristiclly h/o maigraine like headache and h/o early family CVA.
the characteristic lacunes are sub cortical which differentiate it from the deep lacunes from HTN.
presentations: early CVA; early dementia, migraine.
etiology: NOTCH3 gene on chromosme 19
MS