Mysteries of CADASIL – the contribution of neuropathology to understanding of the disease

Dorota Dziewulska

eISSN: 1509-572x
ISSN: 1641-4640

Folia Neuropathologica

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1/2009
vol. 47

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abstract:

Mysteries of CADASIL – the contribution of neuropathology to understanding of the disease

Dorota Dziewulska

Folia Neuropathol 2009; 47 (1): 1-10

Online publish date: 2009/03/26

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Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) is a systemic vascular disease characterized by impairment of vascular smooth muscle cell (VSMC) structure and function related to NOTCH 3 mutations. Clinically the syndrome is manifested as recurrent ischaemic strokes, migraine with aura, dementia and psychiatric symptoms. In spite of intensive investigations, there is relatively little insight into the underlying pathomechanisms that link VSMC with the Notch 3 signalling pathway, morphological changes and clinical symptoms. The introduction into neuropathology of novel immunohistochemical and molecular techniques opened new research and diagnostic perspectives in CADASIL studies. We present a review of current concepts regarding CADASIL pathogenesis, clinical picture and diagnosis in which neuropathological examinations played a key role.

keywords:

Mysteries of CADASIL – the contribution of neuropathology to understanding of the disease

Dorota Dziewulska

CADASIL, GOM, Notch 3, ischaemic stroke, vascular dementia