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Updated: Aug 11, 2026

A Thrombotic Stroke Model Based On Transient Cerebral Hypoxia-ischemia
Published on: August 18, 2015
Single-gene stroke disorders
Jennifer Juhl Majersik1, Elaine J Skalabrin
1Department of Neurology, University of Utah, Salt Lake City, 84132, USA.
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.
Abstract:
Monogenic causes of stroke are rare but should not be missed by the neurologist. The purpose of this review is to aid the reader in the evaluation of a patient with cryptogenic stroke with or without a family history suspicious for an inherited condition. The clinical findings, diagnosis, and management of monogenic causes of stroke and stroke look-alikes are discussed, including cerebral autosomal-dominant arteriopathy with subcortical infarcts and leukoencephalopathy, Fabry's disease, vascular Ehlers-Danlos, Marfan syndrome, sickle cell disease, the thrombophilias, hereditary hemorrhagic telangiectasia, cerebral cavernous malformations, hereditary cerebral hemorrhage with amyloidosis, and mitochondrial encephalopathy, lactic acidosis, and strokelike episodes. A quick review of systems designed to screen for genetic stroke causes is presented. By correlating stroke subtype with phenotype, this review will familiarize the clinician with indications for focused genetic testing in appropriate patients.
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