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A Patient with Combined CADASIL and MTHFR Homozygosity
Sidonie Ibrikji1, Tarek El Halabi1, Bassem Yamout1
1American University of Beirut Medical Center, Department of Neurology, Beirut, Lebanon.
This study reports the first known case of coexisting MTHFR C677T homozygosity and NOTCH 3 mutation in Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy (CADASIL), posing challenges for stroke treatment.
Area of Science:
- Neurology
- Genetics
- Vascular Medicine
Background:
- Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy (CADASIL) is a genetic disorder linked to NOTCH 3 gene mutations, causing early strokes and leukoencephalopathy.
- Methylenetetrahydrofolate Reductase (MTHFR) C677T homozygosity is also a risk factor for lacunar stroke and small vessel disease.
- The simultaneous occurrence of these two genetic factors has not been previously documented.
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