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Brain MRI in Monogenic Cerebral Small Vessel Diseases: A Practical Handbook

Journal

CURRENT MOLECULAR MEDICINE
Volume 22, Issue 4, Pages 300-311

Publisher

BENTHAM SCIENCE PUBL LTD
DOI: 10.2174/1566524021666210510164003

Keywords

Small vessels disease; monogenic; MRI; CADASIL; CARASIL; CARASAL; Fabry Disease; COL4; RCVL-S

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Monogenic cerebral small vessel diseases are attracting increasing attention due to recent advances in genetic research and new sequencing techniques. Brain imaging plays a crucial role in the detection of these diseases and understanding their underlying pathological mechanisms.
Monogenic cerebral small vessel diseases are a topic of growing interest, as several genes responsible have been recently described, and new sequencing techniques such as Next-generation sequencing are available. Brain imaging is significant for the detection of these diseases. Since it is often performed at an initial stage, an MRI is a key to selecting patients for genetic testing and for interpreting next-generation sequencing reports. In addition, neuroimaging can be helpful in describing the underlying pathological mechanisms involved in cerebral small vessel disease. In this review, we aim to provide neurologists and stroke physicians with an up-to-date overview of the current neuroimaging knowledge on monogenic small vessel diseases.

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