Single-gene stroke disorders

Jennifer Juhl Majersik1, Elaine J Skalabrin

  • 1Department of Neurology, University of Utah, Salt Lake City, 84132, USA.

Seminars in Neurology
|February 16, 2006
PubMed

Insights

Monogenic stroke causes are rare but crucial for neurologists to identify. This review aids in evaluating cryptogenic stroke patients for inherited conditions, guiding genetic testing for better diagnosis and management.

Area of Science:

  • Neurology
  • Genetics
  • Vascular Medicine

Background:

  • Monogenic causes of stroke are uncommon but diagnostically significant.
  • Cryptogenic stroke may indicate an underlying inherited condition.
  • Early identification of genetic stroke is vital for appropriate management.

Purpose of the Study:

  • To assist neurologists in evaluating patients with cryptogenic stroke for potential inherited conditions.
  • To provide a comprehensive overview of monogenic stroke causes and stroke mimics.
  • To correlate stroke subtypes with specific phenotypes to guide genetic testing.

Main Methods:

  • Review of clinical findings, diagnosis, and management of various monogenic stroke causes.
  • Inclusion of conditions such as Fabry's disease, Marfan syndrome, and thrombophilias.
  • Presentation of a screening review of systems for genetic stroke evaluation.

Main Results:

  • Detailed discussion of specific monogenic disorders leading to stroke.
  • Emphasis on the importance of family history in identifying at-risk individuals.
  • Correlation between stroke presentation and specific genetic etiologies.

Conclusions:

  • Neurologists should consider rare monogenic causes in patients with cryptogenic stroke.
  • Phenotypic correlation aids in determining the need for genetic testing.
  • Timely diagnosis of genetic stroke conditions improves patient outcomes.

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