Acute Watershed Infarcts with Global Cerebral Hypoperfusion in Symptomatic CADASIL

Authors

  • Ajeet Dhaya Gordhan
  • Brian Hudson

DOI:

https://doi.org/10.3941/jrcr.v7i3.1312

Keywords:

Cerebral autosomal dominant arteriopathy with subcortical infracts and leukoencephalopathy, CADASIL, Watershed infarcts, Global cerebral hypoperfusion, MRI

Abstract

Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) is the most common form of hereditary cerebral angiopathy.   We present a case in which a pattern of diffusion signal change compatible with bihemispheric acute watershed infarcts occurred in a symptomatic patient demonstrating global hypoperfusion.  To our knowledge, watershed infarcts in the clinical presentation of CADASIL have not been previously described.

Author Biographies

Ajeet Dhaya Gordhan

Head of Department

Neurointerventional Radiology

St Joseph Medical Center

Brian Hudson

Resident

Department of Neurosurgery

Advocate Bromenn Hospital

 

Published

2013-03-11

Issue

Section

Neuroradiology