Adult Neurology
MRI
white matter
MS
CADASIL
late onset metabolics
B12
white matter
MS
CADASIL
CADASIL : WM lesion are lacunes that can mimic MS on MRI; lesions affects tips of anterior temporals symmetrically. characteristiclly h/o maigraine like headache and h/o early family CVA.the characteristic lacunes are sub cortical which differentiate it from the deep lacunes from HTN.presentations: early CVA; early dementia, migraine.etiology: NOTCH3 gene on chromosme 19
late onset metabolics
B12