Cadasil: case report / Cadasil: relato de caso

Detalhes bibliográficos
Autor(a) principal: Marinho, Arthur Coelho Moura
Data de Publicação: 2022
Outros Autores: André, Amanda Letícia, de Jesus, Tatiane Arroyo Lopes, Dircksen, Nathalye Fernanda Pedroso, Carvalho, Marcelo Simplício, dos Santos, Breno Wiliam Correa, Kaimen-Maciel, Damacio Ramon
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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spelling 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
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