Related Experiment Video
Updated: Jul 14, 2026

A Thrombotic Stroke Model Based On Transient Cerebral Hypoxia-ischemia
Published on: August 18, 2015
Monogenic vessel diseases related to ischemic stroke: a clinical approach
E Ballabio1, A Bersano, N Bresolin
1Dipartimento di Scienze Neurologiche, Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena, IRCCS,Via F.Sforza 35 Università degli Studi di Milano, Milano, Italy. eleballabio@yahoo.it
Insights
Identifying rare monogenic stroke causes is crucial for treatment and genetic counseling. This review details genetic, pathological, and clinical aspects of single-gene disorders linked to ischemic stroke.
Area of Science:
- Neurology
- Genetics
- Pathology
Background:
- Monogenic disorders account for <1% of ischemic stroke cases.
- Accurate diagnosis is vital for targeted therapies and genetic counseling.
- Understanding these rare conditions improves patient management.
Purpose of the Study:
- To review genetic, pathological, and clinical features of single-gene disorders causing ischemic stroke.
- To provide a comprehensive overview of specific monogenic conditions associated with stroke.
- To aid in identifying diagnostic pathways for suspected monogenic stroke.
Main Methods:
- Literature review of monogenic disorders causing ischemic stroke.
- Summarization of inheritance patterns, pathophysiology, and clinical phenotypes.
- Classification of disorders based on stroke mechanisms (small vessel, large artery, dissection).
Main Results:
- Detailed descriptions of conditions including CADASIL, ARSACS, HERS, Fabry disease, PXE, NF1, FMD, EDS IV, and Marfan syndrome.
- Explanation of pathophysiological mechanisms and clinical presentations.
- Categorization of monogenic stroke causes by underlying vascular pathology.
Conclusions:
- This review consolidates key information on monogenic stroke disorders.
- It serves as a resource for clinicians suspecting genetic causes of stroke.
- Facilitates improved diagnostic strategies and genetic counseling for affected individuals.
Abstract:
The identification of stroke cases caused by monogenic disorders is important both for therapeutic decisions and genetic counselling, although they represent less than 1% of all stroke patients. The purpose of this review is to summarize genetic, pathological, and clinical features of single-gene disorders related to ischemic stroke. The following monogenic disorders are considered: cerebral autosomal-dominant arteriopathy with subcortical infarcts and leukoencephalopathy, cerebral autosomal-recessive arteriosclerosis with subcortical infarcts and leukoencephalopathy, hereditary endotheliopathy with retinopathy, nephropathy, and stroke, Fabry disease, pseudoxanthoma elasticum, Neurofibromatosis type 1, familial MoyaMoya disease, Ehlers-Danlos syndrome type IV, Marfan syndrome. For each monogenic disorder, mode of inheritance, pathophysiological aspects, clinical phenotype, and diagnostic tools are carefully described. Furthermore, the classification of monogenetic disorders is presented according to stroke mechanisms, which include small vessel diseases, large artery diseases, and arterial dissections. This review could be useful to identify specific diagnostic pathways for patients with a suspicion of monogenic disease.
Related Concept Videos
Ischemic Stroke ll: Pathophysiology
Ischemic Stroke l: Introduction
Hemorrhagic Stroke ll: Pathophysiology
Ischemic Heart Disease: Overview
Atherosclerosis, the primary malefactor, orchestrates this dangerous condition. It manifests as the accumulation of fatty deposits, akin to insidious plaques, within arterial walls. As time elapses, these plaques metamorphose, hardening and narrowing...
Hemorrhagic Stroke l: Introduction
Stroke: Introduction and Types
