Case contributed by Assoc Prof Frank Gaillard

Patient Data

Age: 55 years
Gender: Male

Extensive confluent deep and subcortical cerebral white matter hypo-attenuating changes involving the temporal white matter and the external capsules are noted. Some of established chronic lacunar infarcts demonstrate vacuolation/cavitation. A focal cortical infarct in the lateral aspect of the right postcentral gyrus of undetermined age.

In addition there is ill-defined hypoattenuation change in the left hemi pons likely to reflect ischemic event. Mildly prominent ventricles. No extra-axial or intra-axial acute hemorrhage or collection.

Case Discussion

This patient had a confirmed diagnosis of CADASIL and demonstrates the typical temporal and external capsule dominant chronic small vessel ischemic change. 

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Case information

rID: 34620
Published: 15th Jan 2016
Last edited: 30th Mar 2020
Inclusion in quiz mode: Included

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