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Spontaneous intracerebral hemorrhage in CADASIL.
[cadasil]
Cerebral
autosomal
dominant
arteriopathy
with
subcortical
infarcts
and
leukoencephalopathy
(
CADASIL
)
is
a
rare
hereditary
small
vascular
disease
and
its
mainly
clinical
manifestations
are
ischemic
events
.
Spontaneous
intracerebral
hemorrhage
(
ICH
)
involvement
in
patients
with
CADASIL
is
extremely
uncommon
.
A
46
-
year
-old
normotensive
Chinese
man
developed
a
large
hematoma
in
the
left
basal
ganglia
after
he
was
diagnosed
with
CADASIL
2
Â
months
ago
,
the
patient
did
not
take
any
antithrombotics
.
Susceptibility
weighted
imaging
at
pre-
ICH
showed
multiple
cerebral
microbleeds
(
CMBs
)
in
the
bilateral
basal
ganglia
.
He
experienced
migraine
at
about
10
Â
months
post-
ICH
.
To
our
knowledge
,
this
is
the
first
report
of
ICH
in
CADASIL
patients
with
Arg
90
Cys
mutation
in
exon
3
.
ICH
should
be
considered
when
evaluating
new
attacks
in
CADASIL
patients
.
Thus
,
MRI
screening
for
CMBs
might
be
helpful
in
predicting
the
risk
of
ICH
and
guiding
antithrombotic
therapy
.
In
addition
,
strict
control
of
hypertension
and
cautious
use
of
antithrombotics
may
be
important
in
this
context
.
Diseases
Validation
Diseases presenting
"first report"
symptom
achondroplasia
alexander disease
aniridia
cadasil
canavan disease
child syndrome
cohen syndrome
congenital toxoplasmosis
cowden syndrome
cushing syndrome
cutaneous mastocytosis
cystinuria
dedifferentiated liposarcoma
dentinogenesis imperfecta
dracunculiasis
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erdheim-chester disease
esophageal squamous cell carcinoma
fabry disease
familial mediterranean fever
focal myositis
harlequin ichthyosis
hirschsprung disease
hodgkin lymphoma, classical
holt-oram syndrome
homocystinuria without methylmalonic aciduria
inclusion body myositis
junctional epidermolysis bullosa
kabuki syndrome
kindler syndrome
krabbe disease
lamellar ichthyosis
liposarcoma
lymphangioleiomyomatosis
monosomy 21
neonatal adrenoleukodystrophy
neuralgic amyotrophy
oculocutaneous albinism
oligodontia
omenn syndrome
pendred syndrome
pleomorphic liposarcoma
primary hyperoxaluria type 1
pyomyositis
pyruvate dehydrogenase deficiency
scrub typhus
severe combined immunodeficiency
sneddon syndrome
triple a syndrome
typhoid
waldenström macroglobulinemia
werner syndrome
wiskott-aldrich syndrome
x-linked adrenoleukodystrophy
zellweger syndrome
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