Author(s): Guarnaschelli Marlen and Sotelo Andrea
Introduction: CADASIL is a hereditary disease of the cerebral small blood vessels. We describe the case of a patient with diagnosis of CADASIL and intracerebral hemorrhage. Clinical case: A 47-year-old hypertensive male patient treated with antithrombotic agents, who was diagnosed with CADASIL by skin biopsy and admitted at the emergency department for sudden and intense headache. The MRI showed left occipital intracerebral hemorrhage. Conclusion: In patients diagnosed with CADASIL, a positive echo-time for microbleeds could avoid the use of antithrombotic agents given the high risk of ICH. Thus avoid further damage to patients with a disease that currently has no specific treatment.
