Monogenetic Stroke Syndromes in Children and Young Adults
David Doig1, Indran Davagnanam2, Ajay Taranath2
1National Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, Queen Square, London, WC1N 3BG, UK.
Insights
This review highlights key CT and MRI findings for inherited causes of stroke in children and young adults. Recognizing these imaging patterns aids in early diagnosis of genetic conditions.
Area of Science:
- Neurology
- Radiology
- Genetics
Background:
- Stroke in pediatric and young adult populations is a significant cause of acquired disability.
- It is often underrecognized, despite its prevalence.
- Brain imaging, including CT and MRI, is crucial for diagnosis.
Purpose of the Study:
- To review characteristic CT and MRI findings in pediatric and young adult stroke patients.
- To associate specific imaging patterns with monogenetic (single-gene) causes of stroke.
- To improve early recognition of inherited conditions contributing to stroke.
Main Methods:
- Review of neuroimaging studies (CT and MRI) in pediatric and young adult stroke patients.
- Correlation of imaging findings with confirmed or suspected monogenetic disorders.
- Literature synthesis of characteristic imaging patterns associated with specific inherited stroke etiologies.
Main Results:
- Specific CT and MRI findings are indicative of underlying monogenetic stroke causes.
- Characteristic parenchymal and vascular imaging patterns can suggest inherited conditions.
- Early identification of these patterns facilitates timely genetic workup.
Conclusions:
- Neuroimaging plays a vital role in the comprehensive evaluation of young stroke patients.
- Familiarity with characteristic CT and MRI findings can lead to the early recognition of inherited stroke disorders.
- Prompt diagnosis of monogenetic causes allows for targeted management and genetic counseling.
Abstract:
OBJECTIVE. The purpose of this article is to review the characteristic CT and MRI findings associated with monogenetic causes of ischemic and hemorrhagic stroke in children and young adults. CONCLUSION. Ischemic and hemorrhagic stroke in children and young adults remains a common cause of acquired disability but is underrecognized. Brain parenchymal and vascular imaging is commonly performed as part of the comprehensive evaluation of young patients presenting with stroke. Familiarity with these patterns of disease enables early recognition of an underlying inherited condition.
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