CADASIL (Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy): Ultrastructural Confirmation by Skin Biopsy

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A60-year-old obese white, male with chronic migraine headaches had a positive family history of presenile dementia, His father died at age 51, also with a history of migraine. Magnetic resonance imaging studies showed leukoencephalopathy consistent with subcortical infarcts. From neuro-imaging studies, a.diagnosis of cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencepljahipathy (CADASIL) had been suspected, It had not been histologically confirmed in the father, A punch biopsy of skin was obtained.

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