title: Cerebral autosomal recessive arteriopathy with subcortical infarcts and leukoencephalopathy.
abstract: The clinicopathologic features of two Japanese sisters with cerebral autosomal recessive arteriopathy with subcortical infarcts and leukoencephalopathy (CARASIL) are described. Neither patient had a history of hypertension, and both experienced cerebrovascular events before reaching their forties. Severe degenerative changes in the lumbar spine and knee joints were seen on radiographs. MRI showed extensive cerebral white matter lesions, which revealed remarkable arteriosclerotic changes on autopsy.
authors.affiliation: Departments of Neurology, Iida Municipal Hospital, Japan.
authors.forename: Sohei
authors.initials: S
authors.lastname: Yanagawa
authors.forename: Nobuo
authors.initials: N
authors.lastname: Ito
authors.forename: Kunimasa
authors.initials: K
authors.lastname: Arima
authors.forename: Shu-ichi
authors.initials: S
authors.lastname: Ikeda
mesh_terms: D000328:Adult; D001158:Arteries / Q000473:pathology / Q000648:ultrastructure; D001706:Biopsy; D001921:Brain / Q000473:pathology; D002544:Cerebral Infarction / Q000235:genetics / Q000473:pathology* / Q000503:physiopathology; D015140:Dementia, Vascular / Q000235:genetics / Q000473:pathology* / Q000503:physiopathology; D005260:Female; D006801:Humans; D002537:Intracranial Arteriosclerosis / Q000235:genetics / Q000473:pathology* / Q000503:physiopathology; D007564:Japan; D007592:Joint Diseases / Q000503:physiopathology; D007968:Leukoencephalopathy, Progressive Multifocal / Q000235:genetics / Q000473:pathology* / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000473:pathology