5-year Progression of CADASIL: A Case Report

A female patient in her 40’s of mixed Chinese-Indian ancestry was referred to our neurology clinic for frequent migraine with aura and CADASIL. She had been treated acute encephalopathy 2014. The incident led CADASIL diagnosis later retinitis pigmentosa, both rare conditions. Initial clinical assessment showed moderate severity normal cognitive function. As there is no specific treatment recommended CADASIL, the maintained on pharmacological therapies secondary prevention ischaemic stroke, seizure, symptomatic a cholesterol-lowering drug. supplement containing Vitamin E (tocotrienols) recommended. During ensuing 5-years, were further neurovascular incidents went into full remission.