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CADASIL syndrome (cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy) presenting as psychosis
  1. Dheerendra Kumar Mishra1,
  2. Aman Kishore2 and
  3. Vijay Niranjan3
  1. 1 Department of Psychiatry, Shyam Shah Medical College Rewa, Rewa, Madhya Pradesh, India
  2. 2 Masik Aarogyashala Gwalior, Indore, Madhya Pradesh, India
  3. 3 Department of Psychiatry, M. G. M. Medical College Indore, Indore, Madhya Pradesh, India
  1. Correspondence to Dr Dheerendra Kumar Mishra; mdheerendra.ssmc{at}gmail.com

Abstract

Cerebral autosomal dominant arteriopathy with subcortical infarct and leukoencephalopathy (CADASIL) is the most common monogenic form of cerebral small-vessel disease characterised by recurrent strokes. Behavioural disturbance also presents in a significant proportion of subjects as neurotic spectrum disorders and psychotic features are rarely reported. In this case report, we highlight a 32-year-old man with CADASIL syndrome, who had overt psychotic symptoms with neurological signs later on.

  • CADASIL
  • psychosis
  • syndrome
  • genetic strokes

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Footnotes

  • Contributors DKM: collected data and summarised the case. AK: conceptualised and supervised the project. DKM, VN: contributed to drafting, revising and final version of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.