CADASIL type 2

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

CADASIL type 2. This is caused by heterozygous HTRA1 gene mutations. Fully referenced neurology checklist.

Genetics

  • This is caused by heterozygous HTRA1 gene mutations
  • There is residual HTRA1 protease activity in CADASIL type 2 
  • The transmission is autosomal dominant

Pathology

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Demographic features

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Clinical features

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Differential diagnosis

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Magnetic resonance imaging (MRI) brain

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Acronym

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References

  1. Maramattom BV. CADASIL type 2 (HTRA1 cerebral small vessel disease) in an Indian woman. Ann Indian Acad Neurol 2024; 27:597-600.
  2. Zhang C, Zheng H, Li X, et al. Novel mutations in HTRA1-related cerebral small vessel disease and comparison with CADASIL. Ann Clin Transl Neurol 2022; 9:1586-1595.
  3. Lee YC, Chung CP, Chao NC, et al. Characterization of heterozygous HTRA1 mutations in Taiwanese patients with cerebral small vessel disease. Stroke 2018; 49:1593-1601.
  4. Bekircan-Kurt CE, Çetinkaya A, Gocmen R, et al. One disease with two faces: semidominant inheritance of a novel HTRA1 mutation in a consanguineous family. J Stroke Cerebrovasc Dis 2021; 30:105997.

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