Cadasil: case report / Cadasil: relato de caso
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Brazilian Journal of Health Review |
Texto Completo: | https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/43686 |
Resumo: | A 48-year-old patient, male, previously healthy, started migraine with aura at 46 years old of age. After two years, he evolved with the first episode of Ischemic Stroke, with motor and sensory deficit of the left hemibody with partial recovery of symptoms. Stroke protocol and etiological investigation were performed without alterations. Two months later, he presented convulsive crisis requiring the use of medication still for control. It evolved with mild cognitive impairment and depression. Three years later, he had a new episode of stroke, performed Magnetic Resonance Imaging of the Skull, evidencing areas of hypersignal in T2/ FLAIR in the poles of the temporal lobes, also diffusely affecting the supratentorial white substance, with small focal alterations of a means suggestive of small ischemic sequelae, also present in the callous body, deep gray substantial and brainstem, of probable vascular nature. Thus, CADASIL (Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy) was suspected, requested genetic testing showing alteration in the DNA sequence of the NOTCH-3 gene, Allelo1: t > C transition, nucleotide 514; códon 146; exchange of the amino acid cysteine > Arginine. Allelo 2: Transition C > G, nucleotide 1272; códon 398; no amino acid exchange, confirming diagnostic suspicion. The patient is monitored in the neurology outpatient clinic with multidisciplinary rehabilitation therapy, secondary prevention treatment for stroke, antidepressant medication and topiramate for migraine treatment. |
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Brazilian Journal of Health Review |
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Cadasil: case report / Cadasil: relato de casoCADASILNOTCH3STROKEA 48-year-old patient, male, previously healthy, started migraine with aura at 46 years old of age. After two years, he evolved with the first episode of Ischemic Stroke, with motor and sensory deficit of the left hemibody with partial recovery of symptoms. Stroke protocol and etiological investigation were performed without alterations. Two months later, he presented convulsive crisis requiring the use of medication still for control. It evolved with mild cognitive impairment and depression. Three years later, he had a new episode of stroke, performed Magnetic Resonance Imaging of the Skull, evidencing areas of hypersignal in T2/ FLAIR in the poles of the temporal lobes, also diffusely affecting the supratentorial white substance, with small focal alterations of a means suggestive of small ischemic sequelae, also present in the callous body, deep gray substantial and brainstem, of probable vascular nature. Thus, CADASIL (Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy) was suspected, requested genetic testing showing alteration in the DNA sequence of the NOTCH-3 gene, Allelo1: t > C transition, nucleotide 514; códon 146; exchange of the amino acid cysteine > Arginine. Allelo 2: Transition C > G, nucleotide 1272; códon 398; no amino acid exchange, confirming diagnostic suspicion. The patient is monitored in the neurology outpatient clinic with multidisciplinary rehabilitation therapy, secondary prevention treatment for stroke, antidepressant medication and topiramate for migraine treatment.Brazilian Journals Publicações de Periódicos e Editora Ltda.2022-02-04info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/4368610.34119/bjhrv5n1-201Brazilian Journal of Health Review; Vol. 5 No. 1 (2022); 2285-2287Brazilian Journal of Health Review; v. 5 n. 1 (2022); 2285-22872595-6825reponame:Brazilian Journal of Health Reviewinstname:Federação das Indústrias do Estado do Paraná (FIEP)instacron:BJRHenghttps://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/43686/pdfCopyright (c) 2022 Brazilian Journal of Health Reviewinfo:eu-repo/semantics/openAccessMarinho, Arthur Coelho MouraAndré, Amanda Letíciade Jesus, Tatiane Arroyo LopesDircksen, Nathalye Fernanda PedrosoCarvalho, Marcelo Simplíciodos Santos, Breno Wiliam CorreaKaimen-Maciel, Damacio Ramon2022-02-28T20:37:27Zoai:ojs2.ojs.brazilianjournals.com.br:article/43686Revistahttp://www.brazilianjournals.com/index.php/BJHR/indexPRIhttps://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/oai|| brazilianjhr@gmail.com2595-68252595-6825opendoar:2022-02-28T20:37:27Brazilian Journal of Health Review - Federação das Indústrias do Estado do Paraná (FIEP)false |
dc.title.none.fl_str_mv |
Cadasil: case report / Cadasil: relato de caso |
title |
Cadasil: case report / Cadasil: relato de caso |
spellingShingle |
Cadasil: case report / Cadasil: relato de caso Marinho, Arthur Coelho Moura CADASIL NOTCH3 STROKE |
title_short |
Cadasil: case report / Cadasil: relato de caso |
title_full |
Cadasil: case report / Cadasil: relato de caso |
title_fullStr |
Cadasil: case report / Cadasil: relato de caso |
title_full_unstemmed |
Cadasil: case report / Cadasil: relato de caso |
title_sort |
Cadasil: case report / Cadasil: relato de caso |
author |
Marinho, Arthur Coelho Moura |
author_facet |
Marinho, Arthur Coelho Moura André, Amanda Letícia de Jesus, Tatiane Arroyo Lopes Dircksen, Nathalye Fernanda Pedroso Carvalho, Marcelo Simplício dos Santos, Breno Wiliam Correa Kaimen-Maciel, Damacio Ramon |
author_role |
author |
author2 |
André, Amanda Letícia de Jesus, Tatiane Arroyo Lopes Dircksen, Nathalye Fernanda Pedroso Carvalho, Marcelo Simplício dos Santos, Breno Wiliam Correa Kaimen-Maciel, Damacio Ramon |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Marinho, Arthur Coelho Moura André, Amanda Letícia de Jesus, Tatiane Arroyo Lopes Dircksen, Nathalye Fernanda Pedroso Carvalho, Marcelo Simplício dos Santos, Breno Wiliam Correa Kaimen-Maciel, Damacio Ramon |
dc.subject.por.fl_str_mv |
CADASIL NOTCH3 STROKE |
topic |
CADASIL NOTCH3 STROKE |
description |
A 48-year-old patient, male, previously healthy, started migraine with aura at 46 years old of age. After two years, he evolved with the first episode of Ischemic Stroke, with motor and sensory deficit of the left hemibody with partial recovery of symptoms. Stroke protocol and etiological investigation were performed without alterations. Two months later, he presented convulsive crisis requiring the use of medication still for control. It evolved with mild cognitive impairment and depression. Three years later, he had a new episode of stroke, performed Magnetic Resonance Imaging of the Skull, evidencing areas of hypersignal in T2/ FLAIR in the poles of the temporal lobes, also diffusely affecting the supratentorial white substance, with small focal alterations of a means suggestive of small ischemic sequelae, also present in the callous body, deep gray substantial and brainstem, of probable vascular nature. Thus, CADASIL (Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy) was suspected, requested genetic testing showing alteration in the DNA sequence of the NOTCH-3 gene, Allelo1: t > C transition, nucleotide 514; códon 146; exchange of the amino acid cysteine > Arginine. Allelo 2: Transition C > G, nucleotide 1272; códon 398; no amino acid exchange, confirming diagnostic suspicion. The patient is monitored in the neurology outpatient clinic with multidisciplinary rehabilitation therapy, secondary prevention treatment for stroke, antidepressant medication and topiramate for migraine treatment. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-02-04 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/43686 10.34119/bjhrv5n1-201 |
url |
https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/43686 |
identifier_str_mv |
10.34119/bjhrv5n1-201 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/43686/pdf |
dc.rights.driver.fl_str_mv |
Copyright (c) 2022 Brazilian Journal of Health Review info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2022 Brazilian Journal of Health Review |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Brazilian Journals Publicações de Periódicos e Editora Ltda. |
publisher.none.fl_str_mv |
Brazilian Journals Publicações de Periódicos e Editora Ltda. |
dc.source.none.fl_str_mv |
Brazilian Journal of Health Review; Vol. 5 No. 1 (2022); 2285-2287 Brazilian Journal of Health Review; v. 5 n. 1 (2022); 2285-2287 2595-6825 reponame:Brazilian Journal of Health Review instname:Federação das Indústrias do Estado do Paraná (FIEP) instacron:BJRH |
instname_str |
Federação das Indústrias do Estado do Paraná (FIEP) |
instacron_str |
BJRH |
institution |
BJRH |
reponame_str |
Brazilian Journal of Health Review |
collection |
Brazilian Journal of Health Review |
repository.name.fl_str_mv |
Brazilian Journal of Health Review - Federação das Indústrias do Estado do Paraná (FIEP) |
repository.mail.fl_str_mv |
|| brazilianjhr@gmail.com |
_version_ |
1797240071905083392 |