Cognitive and neuroimaging profile of a Brazilian family with CADASIL

Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) is an inherited small vessel disease leading to small infarcts and subcortical vascular dementia. This study presents results from the neuropsychological and neuroimaging evaluation of functionally a...

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Main Authors: Júlio César Vasconcelos da Silva, Emerson L. Gasparetto, Charles André
Format: Article
Language:English
Published: Thieme Revinter Publicações 2011-06-01
Series:Arquivos de Neuro-Psiquiatria
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2011000400005&lng=en&tlng=en
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author Júlio César Vasconcelos da Silva
Emerson L. Gasparetto
Charles André
author_facet Júlio César Vasconcelos da Silva
Emerson L. Gasparetto
Charles André
author_sort Júlio César Vasconcelos da Silva
collection DOAJ
description Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) is an inherited small vessel disease leading to small infarcts and subcortical vascular dementia. This study presents results from the neuropsychological and neuroimaging evaluation of functionally autonomous individuals of a Brazilian family with CADASIL. The causal mutation was confirmed in four family members. Seven individuals from two generations were evaluated using the CERAD battery and additional neuropsychological tests and were submitted (6 individuals) to magnetic resonance imaging (MRI) of the brain with specific protocols for white matter lesion quantification. Apraxic changes and fast progression over nine months (neuropsychological reevaluation of 6 individuals) were found in many individuals. The MRI study suggests greater involvement of frontal lobes in more severely affected individuals. Even functionally independent individuals may exhibit significant neuropsychological and neuroimaging changes. Apraxia, little commented on in literature, and rapidly progressive cognitive changes were found in this group.
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spelling doaj-art-e37619df508f4cd1ab89ecc9b504abd22025-08-20T02:21:21ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272011-06-0169343644010.1590/S0004-282X2011000400005S0004-282X2011000400005Cognitive and neuroimaging profile of a Brazilian family with CADASILJúlio César Vasconcelos da Silva0Emerson L. Gasparetto1Charles André2Universidade Federal do Rio de JaneiroUniversidade Federal do Rio de JaneiroUniversidade Federal do Rio de JaneiroCerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) is an inherited small vessel disease leading to small infarcts and subcortical vascular dementia. This study presents results from the neuropsychological and neuroimaging evaluation of functionally autonomous individuals of a Brazilian family with CADASIL. The causal mutation was confirmed in four family members. Seven individuals from two generations were evaluated using the CERAD battery and additional neuropsychological tests and were submitted (6 individuals) to magnetic resonance imaging (MRI) of the brain with specific protocols for white matter lesion quantification. Apraxic changes and fast progression over nine months (neuropsychological reevaluation of 6 individuals) were found in many individuals. The MRI study suggests greater involvement of frontal lobes in more severely affected individuals. Even functionally independent individuals may exhibit significant neuropsychological and neuroimaging changes. Apraxia, little commented on in literature, and rapidly progressive cognitive changes were found in this group.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2011000400005&lng=en&tlng=enCADASILacidente vascular cerebralneuropsicologiacogniçãodemência vascularRM
spellingShingle Júlio César Vasconcelos da Silva
Emerson L. Gasparetto
Charles André
Cognitive and neuroimaging profile of a Brazilian family with CADASIL
Arquivos de Neuro-Psiquiatria
CADASIL
acidente vascular cerebral
neuropsicologia
cognição
demência vascular
RM
title Cognitive and neuroimaging profile of a Brazilian family with CADASIL
title_full Cognitive and neuroimaging profile of a Brazilian family with CADASIL
title_fullStr Cognitive and neuroimaging profile of a Brazilian family with CADASIL
title_full_unstemmed Cognitive and neuroimaging profile of a Brazilian family with CADASIL
title_short Cognitive and neuroimaging profile of a Brazilian family with CADASIL
title_sort cognitive and neuroimaging profile of a brazilian family with cadasil
topic CADASIL
acidente vascular cerebral
neuropsicologia
cognição
demência vascular
RM
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2011000400005&lng=en&tlng=en
work_keys_str_mv AT juliocesarvasconcelosdasilva cognitiveandneuroimagingprofileofabrazilianfamilywithcadasil
AT emersonlgasparetto cognitiveandneuroimagingprofileofabrazilianfamilywithcadasil
AT charlesandre cognitiveandneuroimagingprofileofabrazilianfamilywithcadasil