Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy
(CADASIL) is a hereditary vascular disorder inherited in an autosomal dominant manner.
MRI plays a crucial role in the diagnosis and follow-up of patients. Characteristic
MRI lesions include symmetric and bilateral white matter periventricular hyperintensities,
lacunar infarcts and cerebral microbleeds. In our case report, we demonstrate a male
patient with genetically confirmed CADASIL syndrome and the progression of symptoms
with corresponding imaging findings throughout the years.