Uppal Manik, Kanellopoulos Dora, Kotbi Nabil
Weill Cornell Medical College New York Presbyterian Hospital New York NY USA.
Clin Case Rep. 2019 Dec 8;8(1):47-50. doi: 10.1002/ccr3.2594. eCollection 2020 Jan.
The diagnosis of cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) should be considered in patients with late-onset personality change and mania. However, neuropsychological deficits precipitated by the disorder pose significant challenges to recognition and appropriate management of CADASIL in susceptible patients.
对于出现迟发性人格改变和躁狂症状的患者,应考虑诊断为伴有皮质下梗死和白质脑病的常染色体显性遗传性脑动脉病(CADASIL)。然而,该疾病引发的神经心理学缺陷给易感患者中CADASIL的识别和恰当管理带来了重大挑战。