TY - JOUR
T1 - CADASIL with NOTCH3 S180C presenting anticipation of onset age and hallucinations
AU - Nakamura, Tomohiko
AU - Watanabe, Hirohisa
AU - Hirayama, Masaaki
AU - Inukai, Akira
AU - Kabasawa, Hidehiro
AU - Matsubara, Michitaka
AU - Mitake, Shigehisa
AU - Nakamura, Masaaki
AU - Ando, Yukio
AU - Uchino, Makoto
AU - Sobue, Gen
PY - 2005/11/15
Y1 - 2005/11/15
N2 - Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) is an inherited disease leading to strokes and vascular dementia. The average age of onset for stroke is 45 years with a range of about 30 to 70 years. We describe a Japanese CADASIL family showing S180C in the exon 4 of NOTCH3, presenting an anticipation of the onset age for stroke. MRI demonstrated a similar extent of white matter involvement in younger and older individuals, supporting the presence of anticipation. In addition, hallucinations in 71% of affected patients, and delusions in 57% were also described. Our findings in this family suggest that a specific NOTCH3 mutation was related to unique clinical features, although such correlations have seldom been encountered in CADASIL.
AB - Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) is an inherited disease leading to strokes and vascular dementia. The average age of onset for stroke is 45 years with a range of about 30 to 70 years. We describe a Japanese CADASIL family showing S180C in the exon 4 of NOTCH3, presenting an anticipation of the onset age for stroke. MRI demonstrated a similar extent of white matter involvement in younger and older individuals, supporting the presence of anticipation. In addition, hallucinations in 71% of affected patients, and delusions in 57% were also described. Our findings in this family suggest that a specific NOTCH3 mutation was related to unique clinical features, although such correlations have seldom been encountered in CADASIL.
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U2 - 10.1016/j.jns.2005.07.001
DO - 10.1016/j.jns.2005.07.001
M3 - Article
C2 - 16111703
AN - SCOPUS:27644577980
SN - 0022-510X
VL - 238
SP - 87
EP - 91
JO - Journal of the Neurological Sciences
JF - Journal of the Neurological Sciences
IS - 1-2
ER -