PT - JOURNAL ARTICLE AU - Dheerendra Kumar Mishra AU - Aman Kishore AU - Vijay Niranjan TI - CADASIL syndrome (cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy) presenting as psychosis AID - 10.1136/gpsych-2018-100017 DP - 2018 Dec 01 TA - General Psychiatry PG - e100017 VI - 31 IP - 3 4099 - http://gpsych.bmj.com/content/31/3/e100017.short 4100 - http://gpsych.bmj.com/content/31/3/e100017.full SO - Gen Psych2018 Dec 01; 31 AB - 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.