Young adult Neurology

Presentation

cognitive

ischemic

small vessels

medium vessels

large vessels

imaging

MRA

Moyamaoya

vasculitis

MRI

white matter lesions

MS

CADASIL

r

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

Neuro raheumatolgic

late onset metabolics