Which specialist consultations are beneficial to patients with cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL)?

Updated: Oct 09, 2018
  • Author: Reza Behrouz, DO, FACP; Chief Editor: Helmi L Lutsep, MD  more...
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Answer

See the list below:

  • Vascular neurology: To assist in diagnosis, patients who are suspected to have CADASIL should be seen and later observed by a vascular neurologist.

  • Dermatology: Consultation should be placed to a dermatologist for skin biopsy in those patients in whom biopsy is desired (for example, patients in whom genetic testing is negative but confirmation of the disease would be helpful).

  • Dermatopathology: The skin biopsy specimen should preferentially be investigated by a dermatopathologist.

  • Psychiatry: The many forms of psychiatric manifestations of CADASIL may be managed more appropriately by a psychiatrist.

  • Neuropsychology: A neuropsychologist can assist in gauging cognitive status or rate of deterioration.

  • Physical therapy

  • Occupational therapy

  • Speech therapy


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