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CADASIL-like cerebral vasculopathy in a patient with a heterozygous MYBPC3 likely pathogenic splice site variant
Ehab Harahsheh1, Bukola A Olarewaju2, Deanna M Weaver3
1Department of Neurology, Mayo Clinic, 5777 E Mayo Blvd, Phoenix, AZ, 85054, USA.
Insights
Genetic alterations in MYBPC3, linked to hypertrophic cardiomyopathy (HCM), can manifest with cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL)-like brain imaging features. Further research is needed to understand these neuroimaging findings in MYBPC3 disorders.
Area of Science:
- Cardiology
- Neurology
- Genetics
Background:
- Myosin-binding protein C3 (MYBPC3) gene alterations are established causes of hypertrophic cardiomyopathy (HCM).
- Neuroimaging characteristics in patients with MYBPC3 alterations are not comprehensively documented.
- Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) is a genetic small vessel disease with distinct neuroimaging findings.
Abstract:
MYBPC3 (Myosin-binding site protein C3) alterations are associated with hypertrophic cardiomyopathy (HCM). However, the neuroimaging features of these patients are not well-described in the literature. We present a unique case of cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL)-like neuroimaging features in a middle-aged female, who harbors a heterozygous likely pathogenic splice site variant [c.26-2 A > G] in MYBPC3 [NM_000256.3]. The patient had negative genetic and electron microscopy test results for CADASIL. Our observations suggest that CADASIL-like cerebral vasculopathy may occur in MYBPC3-related disorders, thus highlighting the need for further characterization of neuroimaging features of patients with MYBPC3-related disorders.
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