Young adult Neurology

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Young adult Neurology

imaging

MRI

white matter lesions

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

MRA

vasculitis

Moyamaoya

Presentation

ischemic

large vessels

medium vessels

small vessels

cognitive